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HomeMy WebLinkAboutNo 14486 _ April 1, 19 87 ~ 14486 677aoQ 5 0 820 0 V lua i n Wa r Unit . a t o to clty Of L1k2Vl l l@ - Bldg. Permit Fee 495 • H54 Sewer unit 6~S . ©0 State Surcharge 34 • ~ Area .?ewer. _ . 250.00 : Metro SAC Charge X25 • d~ Park Fee BUILDING PERMIT Other..p?811,CheCk.. TOTAL PAID......... $2,729.50 (Master)' Receipt .Joseph M. Miller Constr, Permission is hereby granted to Building on Lot No. 2 Block 12 Subdivision DOy r s Valley- PBrlc 8th Parcel No: 22-21177-020-12 in the CITY OF LAKEVILLE lobe used as permit to CoilStrllGt single family dwelk ng .This permit is issued on theexpressconditionthatthe ~ ERECTION ALTERATION REPAIRS ENLARGEMENT MOVING DEMOLITION respects to the statements certified to in the application for such permit, and that all work shalt be done in accordance with the Ordinance of LAKEVILLE, Minnesota and the State. of Minnesotapertaining to the construction of buildings: streerAddress 16036 Fairgreen Avenue David E. Krings Director, License and Inspection t Call for inspections - 469-4431. ey _ _ - ~'T 1 ~ ~ ~ ~ R~~i U~' ~.1 ~N t ~ ~ v ~ v~ ~ ~ ~ ~ . ~ ~l 1:_i)1:•t, 1'''a. 1 „~':'LI L:i- r ^'M 2~ ,q P r ~ F ~ ~ ~ ~ it ONE AND TWO FAMILY RESIDENTIAL ~ CITY OF LAKEVILLE ~ ~ INSPECTION DEPARTMENT 8747 208TH STREET W• - ~ ~ ~ ' t ti,,.'w_. ' P.O. BOX 957 g LAKEVILLE. MN 55044 4b9-4431 DATE: ~ 'b~ ~ ~ JOB SITE ADDRESS: ~ ~ X~`, v LEGAL DESCRIPTION: LOT: c~ BLOCK: ,I~ SUBDIVISION OR SECTION: ~~~1~.~ i OWNER: PHONE: - STREET ADDRESS: CITY: jJ ZIP/' O ®~Q CONTRACTOR: f / / PHONE: cy~ STREET ADDRESS : ! `~~c~~` C ITY :C~~:.!/C `%C,l%~ Z IP ' ~~.7 V'(X CLASS OF WORK: NEW: ~ ADDITION: ALTER/REMODEL: DEMOLISH: PROPOSED USE (DESCRIBE IN DETAIL): VALUATION OF WORK (EXCLUDING LAND): (O 7 I HEREBY APPLY FOR A BUILDING PERMIT AND I ACKNOWLEDGE T THE INFORMATION C!~~~~N""~ ABOVE IS COMPLETE AND ACCURATE; TEAT THE WORK WILL BE IN CONFORMANCE WITH THE ORDINANCES AND CODES OF THE CTTY AND WITH THE STATE BUILDING CODE; THAT 3~, 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 Si ature: ate: ~ a~s-~7 Zone Permit Fee S ie~.1c S Building Off ial 's Signature: Surchar e $ 8 Date: sac S 5oZ ~ . °z7 Comments.:. S/W UniLs S ~ T ~ J ~~U~~ Sewez Area $ ~ ~ Park or Misc. $ _ TOTAL DUE _ $ ~ I