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HomeMy WebLinkAboutNo 13855 f4 July 19 s~~: Valuation. ~~~i,4~.t't) Water Unit ~`~ir.C~U Clt~/ Of La{C@VI~~@ Bldg. Permit Fee C~~g wer Unit fJa~ • ~ State Surcharge ~ ~t Area 2~~ • Metro SAC Charse • r ~ ~ Park Fee . . BUILDING -PERMIT Other.,~`~~.~.cs~~~~~. T~TA~P,e?~o......... & Receipt Permission is hereby granted to Buildin on Lot No. ~ Block ~ Subdivision I~UC:d ~r~~~~#~~ 9 Parcel No. ','.~2~~~i3? ,~?-:C3f'sbu--`~{i°-'J' f in the CITY OF LAKEVILLEtobe used as ~e~rait; t~ c;c~~„~t:ruCt Sirl~.,~' ~ami:;L~ dwe~~.~.i,t~ x Thisper"mitisissuedontheexpress,conditionthatthe ~ ERECTION ALTERATION REPAIRS ENLARGEMENT 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 ~~ce~.sic~r ~ri~,~~ ;~vi~ 3~, ICrfi~~s~ ~.b~~2 ~ Director, i_icenseandlnspection 1 Call for-inspections - 469-4431. By i ~ a ~ ~ ~ ~ ~ ~ c ~ ~ 9J ? ~ ~ ~ ~ R' ~ ~ ~ ~ ~ ~ ova r- r ~ ~ ~ ~ ~ ~ BUILDING PERMIT APPLICATION ONE AND TWO FAMILY RESIDENTIAL ~ CITY OF LAKEVILLE INSPECTION DEPARTMENT 8747 208TH STREET W. P.O. BOX 957 LAKEVILLE, MN 55044 469-4431 ~ DATE: ~ j`, '9 / O lD I JOB SITE ADDRESS: L,`~G, C{-~„` S\ ©'S' ~ V LEGAL DESCRIPTION: LOT: ,j BLOCK: Z. SUBDIVISION OR SECTION; ~ S-r' OWNER: e~ri~ un~~CQ~(UP! _ PHONE: ~2 ~ STREET ADDRESS: X8308 MURPHY LAKE BLVD. CITY: ZIP: ~I~Fi LAK~~,-MAf. 553?2 CONTRACTOR: PHONE: STREET ADDRESS: CITY: ZIP: CLASS OF WORK: NEW ~ ADDITION: ALTER/REMODEL: DEMOLISH: PROPOSED USE (DESCRIBE IN DETAIL) : ~ P- ~ ~ "i VALUATION OF WORK (EXCLUDING LAND) : f ~ I HEREBY APPLY FOR A BUILDING PERMIT AND I ACKNOWLEDGE THAT THE INFORMATION ABOVE IS COMPLETE AND ACCURATE; THAT THE WORK WILL BE IN CONFORMANCE WITH THE ORDINANCES AND CODES OF THE CITY AND WITH THE STATE BUILDING CODE:; THAT ~ I UNDERSTAND THIS IS NOT A PERMIT AND WORK IS NOT TO START WITHOUT A PERMITS AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN. Applicant's Signature: FOR CITY USE ONLY ~ 1~~a2-"`„"~/f~,r> Date:, Zone Permit Fee $ plan Chec~y' $ ~ . i ,wilding 0 ficial „'s Signature: ~ ~ ~ ~ ~ Surcharge $ ~iJC~ Date: SAC $ ~7` ~ ~ • Comments ` _ S/W Units $ 1~~~ Sewer Area $ Park or Misc. $ ~ , ~~n ~ TOTAL DUE $ ~ r