HomeMy WebLinkAboutNo 12731 April 26,
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Valuation SO ~ CS~iC1. t)f) Water Unit 7?~1. rJ~?
Cit of Lakeville 2~ .t~~ 57-.~.t~
y Bldg. Permit Fee Sewer Unit . .
State Su rcharge 2 cf • .Street Area 2 ~f3 - 00
.Metro SAC Charge 42 S . Park Fee .
BUILDING PERMIT other TOTAL PAio:......~ 7 a~~.~~
Receipt
.Permission is hereby granted to 3oseph l~.er ~on~t . f
Building on Lot No. ~ Bloclc Subdivision T3annay~ Valley Pttrk £~t:ft Addn
Parcel No. ~~22-"177-~!~9(?-1.2
in the CITY OF LAKEVILLE to be used as peT~itr ~ctTS~t~u~:t faIItily dwelling
This permit is issued on the express conditionthatYhe ~ 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 36162 F>t$r~reen Avenue Sick Mil3~r
Director, License and,lnspection
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Call for inspections - 469-4431_ By t k t-
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. - ~ "APPLICATION FOR BUILDING CZTY OF LAREPILLE .
f P~'°ZSIT 8747 208th St. W., P.0.3ox 957
- ~ Lakeville,. Mri 55044
~ . ~ ' ~ (612) 46 9-4431
Job Site Address / ~ ~
Le 1 Description: Lot ~ Block ~ Addition ~ v!7''
Owner ~ Phone
Address P•0•Box:
City Zip
• Contractor ~ ~ e~ `
Phone ~1~,1/
Address
~c~/ L..' ~ GGI~~ City ox: ~ Zi ~~.S~t~~t
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Class of Work: Erect ( ) Alter ( ) Repair ( ) Enlarge ( ) '_'~eve ~
~ ) Demoiis$
Proposed Use (Describe in Detail)
Cousmercial: Square Feet ~ Employees
Heating Contractor
Plumbing Contractor
Sewer ~ Water Contractor
-
Electrical Contractor /'/z ~p
Special Conditions
TTaluation of Work: $ ,
• FOR CIT° IISE ONLY
~Sigrtature of Applicant ~ Title:
- ~/c~~~.~1-1~.~~~ City Fee $ "~'t~
Place Check $ -
Date Surcharge $ ~ ~
SAC - $ ~ .
Signature of Zoning Officer: -
S/W Units $ `~fi'
•Date Sewer Area $ _ o+G„(,~ ° ~
Signature of Building Official: Street Area $
Park or Misc. $
Total $ r~C ~ ~
Date: . .
• SZD MILLER, BUILDZ±+IG INSPECTOR
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