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HomeMy WebLinkAboutNo 13544 E t i Valuation tiG _ ~,t1t1 _ ~~3 Water Unit . 824 i7tsL ~;Ity O'f LakG'VI ~ ~e Bldg. Permitfee - ~tl Sevrer Unit ...........-~z.05 -AO ~ State Surcharge ~5 ~ rea . Se'+rex ~6.~`L- I i Metro SAC Charge ~ 7 Park, Fee . . . BUILDING PERMIT. OtnerP.lA17..s~eck..... _ TQTAL PAID..... . ~i2,-75-1. ~-Q-- Receipt .Permission is hereby granted to Building on Lot No. ~ Block 1 Subdivision 1)csdd I'nint~s Parcel No. 22-2036}-OSEi-~1 ~ in the CITY OF LAKEVILLE to be used as permit to a©nstruct singly faanil~ dwelling I Thispermitisissuedontheexpressconditionthatthe ~ ERECTION ALTERATION REPAIRS ENLARGEMENT MOVING DEMOLITION respects to the statements certified to in the t. application for such permit, and that all work shalt be done in accordance .with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota pertaining to the construction of buildings. Street Address 1.6131 E~cce3sior Drive David E. RrnAs Director, License and Inspection ~a Callforinspections - 469-4431. BY r ~;I ~ C c ~ ~i ~ ~ , 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 : , / ` JOB SITE ADDRESS : ~ ~ L°` XCc~L._ j ! ae L J ~ lc= ~1>' ~..L~ LEGAL DESCRIPTION: LOT: BLOCK: ty SUBDIVISION OR SECTION: i~Jrr-y Yi OWNER : ~ ~ ' ~ PHONE : ~ ~ ' `c~ Lam(--E:-~<~ ~ ~.d ~ ~i~ t? i s~~~ J `~..r ' ~"~7 t STREET ADDRESS: X jJ~~ j,~"~ ~ .~J4.~`N CITY: ~~~~s~~J9~jC,%C.~''~ ZIP: CONTRACTOR: ~;'":'fir: ~j _ _ _ PHONE: STREET ADDRESS: CITY: ZIP: CLASS OF WORK: NEW: ADDITION: ALTER/REMODEL: DEMOLISH: PROPOSED USE (DESCRIBE IN DETAIL) : lU~~~:a 1 h7~„:l.~r ~t~,-~` g'~ J L1~' ~C-!~ y VALUATION OF WORK (EXCLUDING LAND~,~ I HEREBY APPLY FOR A BUILDING PERM~~-~-A-GKNOWLEDGE 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 gignature: FOR CITY USE ONLY ,,r" ,i ~ t• V` ~ ~ Date: M- ~tY°_, Zone ti 5} ' ~"?t~..-C-~:;r~ f_ _~L t `i~~to' a ?:~~~..J Permit Fee $ ~'`f ~ Plan Check $ - ~r Ci Building 0 ficia ` `s 'gnature: - urchar e $ g d:,r` - ~ -.a Dater SAC $ f % ~ ~ y ~ Comments: ~ - S/W Units $ ~-7 , Sewer Area $ I Park or Misc. $ TOTAL DUE $ •