HomeMy WebLinkAboutNo 13387 1
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Valua#TO~ FiO, 934.00 Water Unit 32L?.
City of Lakeville Bldg.t~ermitFee ~iS.l7f~ Sewer Unit f05••;1~J ~
State Surcharge . ~ ~ 30.00 Area ...~~W~.iC_ 254.OQ
t ' ,a 'Metro SAC Charge Park Fee . '
B~'L~~~'~~ 1 bther.~•18~.~ ~ f~ TOTAL PAID.. ~~~:7C}1.Ot~
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Permission is hereb ran d~tcx` a0x- erg ~'onSt r~dTX~ ; ~ ~ - -
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Building on Lot No. t 11 ! 5 Block 1 Subdivision t)c~dd ~~'~-ut~ ~Fnd Addition
Parcel No. 22 'f E i ,~,lt~ tll
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f in the CITY pF'-~AKEiI~ttLE to be used as p~'~'~f' t~ ct~tt &Lz'uCt 9~ tlM~P ~~.m~.l'i~ d~~l.l.~~'~S
This permit is issued on theexpressconditionthatthe ERECTION ALTERATION flEPAIRS
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_ l h 7'i~s F:grra+l ui nr T1ri ~a F?avid F KringB
Director, License and Inspection
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Callforinspections-469-4431. BY--~~`
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BUILDING PERNiIT 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 : ~ L..~~
JOB SITE ADDRESS : , ~ ~'~L,C,,~,4. -t_,.._ , xl,_a,
LEGAL DESCRIPTION: LOT:~ BLOCK; ~ SUBDIVISION OR SECTION: ~~~~7~~ ~
OWNER: ye ~ ~(,~1,,~ v _ PHONE
STREET ADDRESS: CITY: ZIP:
CONTRACTOR: ~ ~ PHONE: ~ ~
STREET ADDRESS: ~ ~ ~ ~ CITY: ~~L~ ZIP; ~ ~-7
CLASS OF WORK: NEW: ADDITION: ALTER/REMODEL: DEMOLISH;
PROPOSED USE (DESCRIBE IN DETAIL):
_~r ~ . ~~Y~ ~ .~U~~a
VALUATION OF WORK (EXCLUDING LAND) : ~
I HEREBY APPLY FORA BUILDING PERMIT AND I ACKNOWLEDGE THAT THE INFORIvIATION
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 PERMIT;
AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN.
FOR CITY USE ONLY
Applicant's Signature:
~ / Date: Zone
Permit Fee $ ~ ~ ~
Plan Check $ ~G' .
Building Off'c' 1 's Signature:
Surcharge $ G-'
Date: ~'~'~'1C?`
SAC $ ~ ~
Comments : /.,r ~ ~
_ _ S/W Units $ i ! ~ .
Sewer Area $ ~
Park or Misc. $
TOTAL DUE $ /