HomeMy WebLinkAboutNo 13182 November I~ , 1s ~5
Valuation 5f1,(l!3~_Of3 Water Unit 7i"3t)-~~
Clty Of Lak@VI I12 Bldg. Permit Fee • Sewer Unit 575 •
State Surcharge tArea Ses~tex.. 23$.00
Metro SAC Charge 425.+'~~ Park Fee
BUILDING PERMIT .other TOTAL PAID.. ~~;"~26~~0
Receipt
.Permission is hereby granted to Tngtayh I~tll~r Can~trUrtion, Inc
Building on Lot No. 12 Block Subdivision ~lonnay ~ ~ YaS1a~ 'ark Sth
.Parcel No. ~2-21177-1'~-1.
~ in the CITY OF LAKEVILLE to be used as P~~~ 4~ ~a'~ ~t'~t1er gitl~le £~tTt~f 1 Y dat~~.1.~.Ci~
Tfiispermitisissuedontheexpressconditio.nthatthe y 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,4ddress 16i1~ 2"'~irf?r~'.eX4 Avenue Sid M3.1.ler
Director, License and Inspection
A. €
Call for inspections.-469-4431. BY ~ ` `
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. ..APPLICATION FOR BUILDING ?~,~T CITY OF LAKEPIIZ.E
8747 208th St. W., P.0.3ox 957
Lakeville MN 55044
. ~ (61.2) 469 4~1
it
/ ~ ~
Jobe of Address $
.
Legal Description: Loc I Block Addition ~~7i"V
Owner
Phone
Address P•O.Box:
City Zip
Contractor JOSEPH M. MILLER CONST. INC. Ph
one 431-2001
Address 1$133 Cedar Ave P.O.Box:
City Farminaton Zip _55_02_ 4
Class of Work: (x) ~..-ect ( ) Alter O Repair ( ) Enlarge ( ) Move
( ) Demolish
Proposed Use (Describe in Detail) New Home
Commercial: Square Feet ~ Employees
Heating Contractor Controlled
Plumbing Contractor Hiltner Plumbina
Sewer & Water Contractor r
f~-
~~A
Electrical Contractor Midland Elec-tri c
Special Conditions
Valuation of Rork: $ Q ~ ®c~
FOR CIT° USE ONL°
~`Sigaature of Applicant S Title:
~ fZNd~ City Fee ~b1 0 ~..1 u Q' U'
Y ~
Plan Check $
Date ~ Surcharge $ ~ ~s ~ Q
J/
SAC $ ~>Z
Signature of Zoning Officer:
S/W Units $ j 1~ a' G •
•Dare Sewer Area $ ram s~ ~ v
. Signature of Bnildiag Official; Street Area $
Park or Misc. $
. Date: Total $ r~ CQ t.~
Sm ~LLER~ BIIILDL'~G INSPECTOR