HomeMy WebLinkAboutNo 12735 w~ ~i
Valuation "r~ j`P°~ • ~7r) Water Unit .
Clty Of LakeVl I Ie Bldg. Permit Fee . 2 • Sewer Unit >
State Surcharge ? 7 . ;^~r} ~t Area 'WP?"... " ~ _ ~ ;t ~
Metro SAC Charge ~ .'.'`:.f Park Fee .
BUILDING PERMLT other:°,,..,tz-`.~.:,;~L±;.... TOTALPAID........' ?t-/iR7_jC}
Receipt
Permission is hereby granted to ~u~1.3~~r~
Building on Lot No. Block Subdivision rs~,~6t
_~I~~~.n_l.p~-,..~~
Parcel No
in the CITY OFLAKEVILLEtobeusedas p~x'~ti.t rc~ °-o~z.yt7't.t~f: ~ire,a~p fa'rlilV dw~lin~
This permit is issued ontheexpressconditionthatthe ERECTION ALTERATION REPAIRS
ENLARGEMENT MOVING DEMOLITION respects to the statements certified to in the
application #or 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.~1 Fx~{=:l.t>Y+ax' ltr~v~ ~;i~ hi 1 r
Director, License and Inspection.
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Call for inspections - 469-4431. By -
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"APPLICATION FOR BUILDING P~MIT CITY OF LAKEVILLE
8747 208th St. W,, P.0.3ox 957
• La.keville,. MN 55044
C612) 469-4431
-Job Site Address ~ ~ .
Legal Description:. Lot ~ Blocky Addition a`- ~ , ~ , ,
Owner ~o%to~J ~~VtIP Bl'c~trS Phone ~G;3-2Z7cf
Address P.O.Box:
~,z0~{0 ~11tr Cc~~?'~ Citq ~,~Q1~j~'Tl~N Zip ~~(j
Contractor ~/~Q„y ~ti9 /,t Qec,'/b ~~'S Phone ~G 3'?~~/
Address ~ ~ P.O.Box:
Citq Zip
Class of Work: (Erect ( ) Alter ( ) Repair ( ) Enlarge ( ) *iove
. ( ) Demolish
Proposed Use (Describe in Detail)
Commercial: Square Feet ~ Emplogees
Heating Contractor C~en„2-~ g,,,,,
Plumbing Contractor ~en 2 - Q,lu,~.
Sewer & Water Contractor ~c~CrS~,,-v
_ _ _ _
Electrical Contractor ' pe.{-xrSc rv
Special Conditions
Valuation of Work: $ ~ ~ ,ter
FOR CIT° USE ONLY
Signature of Applicant ~ Title:
` ~ Citq Fee $ ~ ~
Plan Check $ f
Date ~ ~ Surcharge $
SAC ~ $ ~ vZ....,( ~ cc~
w
Signature of Zoning Officer: _
S/W IInits $ ~,,~.,a` ,,j ~A .
Sewer Area $ . ~A
Date
Signature of Building Official: Street Area $
Park or Misc. $
Total.
Date:
SID MILLER, BUILDZi*IG INSPECTOR