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HomeMy WebLinkAboutNo 11394 _ _ , :..City of Lakeville ±~nv:~mt~~~r ,,9 Permit Fee 9.7!"3 113~~ PLUMBING PERMIT . & R E C E I PT State surcharge TOTAL FEE PAID ~ • Pemtisslonisherebygrantedto ~"~~.~-i_g,~n at ~ortife].cl<~~ia^. .7. ~~orak, (hrner .Building on Lot No. Block` Subdivision T?clrt~ Parcel No. "?~,-?n~6~J-(~5~?-f?? ~c~rr~ti.t~ t~? ~.~x~t.=~li rfat~.r c~or:~ita~,ni~? unit Irthe CITY OF LAKEVILLE to be used as This.. permit is issued on the express condition that the ERECTION ALTERATION REPAIRS INSTALLATION MOVING .DEMOLITION respects to the statements certified to the application for such permit, and that ali work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota pertaining to the construction of buildings. t61~2 Excelsior i~r:ive Glenn A. Lanacr'rd .Street Address . Director, License and Inspection ~~~,I. ~ ~ 7:~ ~v~: ~~L~. ~~:~:n~:rTZ~~~ r,~t.,~:r~ T ,.E I~7S'~"d~LL1sR. IS P.T T rE T'R(tpr?~'I'u ~ y ~f ~011~.+a---=~-~---- =sue Attention is particularly called to the cutting up of streets, making main sewer ..connections, driveways and curbs. Obtain permi4 for such construction from the CITY OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public Utilities. Call for inspections:469-4431... w CITY OF LAKEVILLE APPLICATION FOR PLUMBING PERMiT Permit Fee...... $ 9.SO WATER. CONDITIONING UNIT State Surcharge .50 TOTAL DUE..,... $30.00 Service Address / t~ ~ Z- g~ X ~frl r~ f~ Owner Name ~ ~ L~ - 1~~.~:~4 f Contractor Name C~-c-c i G~/~-' rf-/ ,~~~~':r~f=<~ Contractor Address < ~ ~ ~ Zi ~ City/~~d~~~tf_~.a P - ) Te3ephone(.S~Z ~ , ' Date CITY OF LAKEViLLE (812) 469-4431 E747 -208TH ST. W. • BOX~IO~~;'" LAKEVlLIE, MN 55044