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HomeMy WebLinkAboutNo 14237 -U •'C 4x ~ i~: , t T~ ~..`"`~'}:h.,''~. _~~`s:~ 1 ~ ~1T;.z~:,] Tt:~~fh, rr:7 ~'~If~}~i~~al ~ f ~oy~mz~e'L` ~ ~3, 19_ ~ ar a Valuation 5~,G1~.Gt~ Water Unit ~?'~.+}0 CltyOf LAIC@Vl~~e Bldg. Permit Fee........>' 31Ct0~ Sewer Unit........... ~SGS.!?G State Surcharge 2~ . SO Area Se~caer , , . 2S0 . D0 Metro SAC Charge ~ 7S • GQ i'Park Fee.. . . BUILDING PERMIT Other ~~.3t:~..C3'~e_ck. 2tT1.5G TrSTAL PAID.........~2-~~~•GG Recei t II p .Permission is hereby granted to CF1~Be1'g Coalstruciric~r, Building on Lot No: LG Bloclc ~ Subdivision. Po3nte 2nd Additrion l Parcel No. 22 ZOS361--10R'~-Gl in the CITY OF LAKEVILLEto be used as ~er~if: t+a er~z2sts•uCt sa7't?l e ~ami-l5' C~P7C?Z7.1t'1~ This permit is issued on the,expressconditionthatthe 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 State of Mihnesota pertaining to the construction of buildings.: street Address 1623 r,xc~ls~.ax 'Ox°~v~ I:?~~%ici E. Krin~s Director, License and Inspection i ~ y f fy Call for inspections-469-4431.. By ~ J ' ~;'~,f{. (rs , jf~~ fi,jy~:r' ~ { t ~ ~ ~ H ' ~r J BUILDING PERMIT APPLICATION ONE AND TWO FAMILY RESIDENTIAL CITY OF LAKEVILLE INSPECTION DEPARTMENT 8747 208TH STREET W. P.0. BOX 957 LAKEVILLE, MN 55044 469-4431 DATE : I I a. ' ~ b Q~~ JOB SITE ADDRESS : ~ ~ k ~ a ~ ~ O LEGAL DESCRIPTION: LOT:~~ BLOCK: ~ SUBDIVISION OR SECTION;,~Jh~?J? ~82~i~ ~ ~ OWNER: C 6~~ ~.A CT PHONE: STREET ADDRESS: CITY: ZIP: CONTRACTOR: OL t?~~, ~ X57 PHONE: ~3~ S7 STREET ADDRESS: ~d ~ ~ 1 ~ i . C't': CITY: j~} ~~L ~ V r4LL~}~ ZIP : S5 ~j~ CLASS OF WORK: NEW:_~ ADDITION: ALTER/REMODEL: DEMOLISH: PROPOSED USE (DESCRIBE IN DETAIL): S rte, ~ Zti ~ VALUATION OF WORK (EXCLUDING LAND): ~.5 a ~ o~ I HEREBY APPLY FOR A BUILDING PERMIT AND I ACKNO EDGE. 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 r,~^.~;~-' 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. y {i a ~,f' FOR CITY USE ONLY ~ ` Applicant's Signature: ~j ~9.~----- -Date: ~ Zone , -r M~. _ _ termit Fee $ Plan Check $ ©f SQ ` j Building Of•i~ial 's Signature: 8 ~~p Surcharge $ a2q SD Date: SAC $ ~ ?S Comment s_: _ ~ S/W Units $ I~-'~S Sewer Area $ ~5l~• Park or Misc. $ TOTAL DUE $ p~ jp~~ . i