HomeMy WebLinkAboutNo 12885 _ _
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Valuation 50,~1t~{3.0~1 WaterUniti 7f3!).Ofl
Clty Of Lak@VI~~@ 131dg. Permit Fee . 2~3.t7~J Sewer Unit 575...:00
State Surcharge 25.Ofl ~~t Area ..SlKWf'X.,. 2 Ofl ~
Metro SAC Charge 425 • ®0 Park Fee .
,~~6 00
Other TOTAL .PAID:...
BUILDING PERMIT
&Receipt
Permission is hereby granted to .toe M{ ~ ~ Qrtg rr~rti fl~~
Building on Lot No. 11 Block Subdivision bonn~ga s Vslle~. Perk 8th A~ir?n.
Parcel No. 22 21177- 110 I2
in the CITY OF tAKEVILLE to be used as ~tmrmt t to rnn~tr»rt•' q4
ng~~f 1.~~].1 rg
This permit is issued on theexpressconditionthatthe ~ ERECTION ~ ALTERATION `REPAIRS
ENLARGEMENT MQVING DEMOLITION Yespects to`the statements certified to in ;he
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 if I9~ F`ai rgr~+art Ayprtue ci ~t ~T+ t7~*r
Director, Licenseand Inspection
Callforinspections - 469-4431. BY `
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_ ' ~ ..APPLICATION FOR BUILDIl~iG P~°~SIT CITY OF LAKF:PILLE -
8747 208th St. W., P.O.Box 957
~ Lakeville,. MPii 55044
(6I2) 469-4431
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Job Site Address ~ ~p ~ _
Legal Description: Lot Block Addition /~,G~~1/J
Owner ~ Phone
Address P.O.Box:
. City Zip
Contracto Phone ~3/-o2OD/
Address ~~~3 ~~.~.~,J L~~ Cit.Bo ;
Class of Work:. ~ Erect ( ) Alter ( ) Repair ( ) Enlar e
g ( ) ?~1ove ( ) Demolish
Proposed vse (Describe in Detail) ~ ~°~~~'YJ'ZGJ
Commercial: Square Feet ~ Employees
Heating Contractor _ fly .
Plumbing Contractor
Sewer & Water Contractor
_ _
Electrical Contractor ~
Special Conditions
Valuation of Work: ~
-
' FOIL CIT° IISE ONLY
Signature of Applicant ~ Title:
`~d~-r/h Cit9 Fee $ ~ ,
~ Place Check $ -
Date Surcharge $ ' ~ ~
.KK.
SAC ~ $ ~'d t ~
Signature of Zoning Officer:
S/W IInits $ ~=f
~ e
Date Sewer Area $ .
Signature of Building Official: Street Area $
Park or Misc. $
. Total $ ~ b
Date:
SID BUIZDL'~G INSPECTOR