HomeMy WebLinkAboutNo 12958 Atx~.3~t 3, 19 FMS
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Valuation ~4•UC9~.?~~ Water Unit 7$c?.~~.
Clt~/Of~..ak@V1~~@ Bldg. Permit Fee....... 3~7+~rf Sewer Unit........... J75.CiQ
State Surcharge _ . tad $$Area ~ewet, 234.
Metro SAC Charge 42S•~v Park Fee .
BUILDING PERMIT Qther.......`............ TOTAL PAID......... $2,354+00
& Receipt
Permission is herebygranted to ~ rni x Tat~j 1 r~~^-a f t3arur~ n' TmT~rrert
Building on Lot No. ~ Block Subdivision Pointe
Parcel No. 22-2t}4~iQ-Q9~?-~1
!h the CITY OF LAKEVFLLE tobe used as mi rnnafir:iCt ~xz'~gl~ f-c"t..~°L1.~1 t 1 artist
This permit is isstaed on theexpresscohdition thatthe ~ 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 Sta#e of Minnesota pertaining to the construction of buildings.
~ Street Address .r.fi.L'~? f»`ura'~inr T~ri~ra ~,icl NI'41~~r
pirector, License and Inspection
Cal! for inspections - 469-4431. By ~ ¢ .mot e ~ ~ ~
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APPLICATION FOR BUILDING PERMIT
CITY OF LAKEVILLE
8747 208th St. W. P.O. Box 957 -
Lakeville, MN 55044
46°-4431
Job Site Address: 1 ~l e -~1.5 i~~ (7 i''t
Legal Description ; Lot Block~_Addition ~C~ 1~ ~ u , ~ T ~ ~1` S
Owner ~ c: r ~ w .:3 l.v v~-`~ ~'z 'ti'
Phone
Address P.O.Box City Zip
Contractor ~ ~4 c' ~ ~ I~ i 1 U s w ~ Phone ~ ~ ~ ~ 7 ~ ~ `f ~ _
j~=
Address ~ P .0 .Box ~ ~ Citg /w~ ~ ~ ~ ~ c~ Zip S ~ 7 G
Class of Work.: ('Q Erect ( }Alter ( )Repair ( )Enlarge ( )Move ( ) Demolish
Proposed Use (Describe in Detail)
Commercial: Square Feet Number of Employees
Heating Contractor (N.-z 7_ --~1
Plumbing Contractor ~ Y1 Z
Sewer & Water Contractor ~ ~ ~ ~ 1
Electrical Contractor f ~ ~ h ~ ~ ~ ci t,
Special Conditions
Valuation of Work: $ S
Signature of Applicant & Title : FOR CITY USE ONLY `4y r°-
one
City Fee $ ~ ~ • G~ y
'4
Date Plan Check $
Signature of Zoning Officer: Surcharge c~
SAC $ ~
Date S/W Units $ ~
Signature of Building Inspector:
Sewer Area $ ~ 1
St. Area $ '
Park or Misc.$ '
Date
TOTAL $pt J(,~~ J'°"`'