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HomeMy WebLinkAboutNo 13988 F `5 ~".w - J Valuation fi y 7;a;~. i~fiC3 Water Unit ~32i3.4Q ~;It~/ Of Ldk@V1 ~ ~2 Bldg: Permit Fee ' k~J Sewer Unit . t?0 State Surcharge • xS~-,t Area .~O~:T+JE'1:'... 2 ,e~ _ f3f`> Metro SAC Charge ~ • ~Q Park Fee . BUILDING PERMIT Other.......~~,~~.c:t~~~~. ~=i.~'~ TOTAL PAID..... ~2,60~.2 Receipt .Permission is hereby granted to I~' `~~'~'~~r '~°'~.~~~ta~r~'i~,n Building on Lot No. ~ Block Subdivision ~~~f7La't]2.Yt~ PST: 1atl? Parcel No. ~2-~1L77-~t~~~~.i~ in the CITY OF LAKEVILLEto be used as 17BY'mj.t C~e7~s1-~tact sirt~~~ ~anail~* dw~111at€~ 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 Minnesota pertaining to the construction of buildings. Street Address ~'~airgr.~3~n e~veAnue I~avcl IZrin~~ Director, Licenseand Inspection Callforinspections-469-4431. By "~-r`~' ` ~~~i-= ~ ~ ~ ro ~ °~l ~ ~ ~ o ~ ~ ~ 6~ ~ ~ ~ ~ ~ ~ ~ • _ BUILDING PER~~IIT APPLICATIOti ONE AND TWO FAMILY RESIDENTIAL ' CITY OF LAKEVILLE t INSPECTION DEPARTMENT E747^20ETH STREET W. f P.O. BOX 957 LAKEVILLE, MN 55044 469-4431 DATE: CQ I ~_~C(J JOB SITE ADDRESS: / ~ '%~f ~ . LEGAL DESCRIPTION: LOT: ~ BLOCK: SUBDIVISION OR SECTION:~(~~r~(/• OWNER: PHONE: • STREET ADDRESS: CITY:. ZIP: CONTRACTOR: PHONE: STREET ADDRESS: ~~~~h ~ CITY:~~~1~Z.C1~'?Cj ZIP: J~I~o~~` CLASS OF WORK: NEW= ADDITION: ALTER/REMODEL: DEMOLISH: PROPOSED USE (DESCRIBE IN DETAIL): VALUATION OF WORK (EXCLUDING LAND): ~ c5~ Z HEREBY APPLY FOR A BUILDING PERMIT AND I ACKNOWLEDGE 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 I UNDERSTAND THIS IS NOT A PERMIT AND WORK IS NOT TO START WITHOUT A PERMIT; AND THAT THE WORK WILL BE ZN ACCORDANCE WITH THE APPROVED PLAN. Applicant's Signature: FOR CITY USE ONLY ? R ~ ~3 ~ Zone % ~ Date: 2 Permit Fee $ ~ J~• ~ee . S Plan Check $ "~C Buil ing Off' ial 's Signature: ~j p Surcharge $ Date: p ~~~'`6~ SAC $ I Comments: S/W Units $ ~40~ Sewer Area $ of ~d • Park or Misc. $ TOTAL DUE $ o'-~©~.