HomeMy WebLinkAboutNo 12917
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Valuation R,~f~~J.~'" .Water Unit 7$O.fl{~
hilt}/ Of LakeVl ~ ~@ Bldg. Permit Fee 3'J7 • Sewer Unit , 575.1'~Q
State Surcharge 29 . Qty Area ~.~~4~. , 238.Od
Metro SAC Charge ~+?S • 0`? Park Fee .
Other .~'ZaA. ~~~G~ 1S 3. Sl3 TOTAL PAID..., $2 • Sp7.50
BUILDING PERMIT
& Receipt
~ Permission is hereby granted to llave So41~~E' ~ &1
~ Building on Lot No. Block Subdivision ~aixtt~
{ Parcel No. 22-"~23~0-45f}-0l
j in the CITY OF LAKEVII.LE to be used as Derffiit t:o COY18~'CtlGt sing2~ fatstil9 ~iwell~n~
~ This permit is issued on theexpressconditionthatthe ~ ERECTION. .ALTERATION REPAIRS
ENLARGENtEMT MOVING DEMOLITION respects to the statements certified to in the
application for such permit, and that all work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota and
the State of Minnesota pertaining to the construction of buildings.'
Street Address l~~)~~+ ~xcelsicar 13r~v+~ Sid ~~.1~:er
:p~irector, License and Inspection
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Ca11 for inspections - 469=4431. By " i ,
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~ CITY OF LAR~CpILLE .
APPLICA.TIQN FOR BUILDING p~MIT 8747 208th St. W., P.0.3o
Lakeville,. MN 55044 a 957
(bl2) 4b9-4431
Job Site tiddress ~ S ~ X C E ~Sl~r ~r,
Legal Description: Lot s Block _ ~
_ Additioa ~~~d( ~d~,~ fC
Owner ~ ?F o1.rl t t
'k ~ 1~1 Phone. ~.3~ - 8~~~
Address ~ 1 3~ w• ~o~ '~'`ap P.O.Box
- i_ City . V ~I Zip $ S y
. Contractor - ~t1 ~ Saws ~ ~ 4 Phone y 3 ~ 0
Address P.O.Box:
City Zip
Class of Work: (Xj Erect ( ) Alter O Repair ( ) Enlarge ( } ?love
. ( ) Demolish
Proposed Use (Describe in Detail) S/ ,n h~~s~
Commercial: Square Feet ~ Emplopees
Heating Contractor oh f'ro~~ o~ ~i r-
Plumbing Contractor Jqy b er ~lVh'1 l~ t ~7~E4lly
Sewer & Water Contractor ~J e~Gr ~ DI ?t ~ ~"e ~ •
Electrical. Contractor _ VEy E SoW ~ e ~S
.Special. Conditions
Valuation of Work: $
FOR CITY USE ONLY
Signs nre of Ap icaat ~ Title:
• City Fee $ ~ ~ U`' G%' t
O W?~ E'r yh v r Plaa Check $ • .
Date Surcharge $ ~
~
SAC - $
Signature of Zoning Officer:
• S/W Units $ ~ , _
i x
Sewer Area $
Date ~
Signature of Building Official: Street Area $
Park or Misc. $
Total $
~ Date: /
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SID MILLER, BUILDL'~iG INSPECTOR
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