HomeMy WebLinkAboutNo 12616
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Valua ion 5D,000.00 Water Unit _7£S1.L"t3
Clay Of LakeVI~~G' Bldg. Permit Fee 2E~3. ~0 Sewer_Unit 574+.L-
State Surcharge 25.0(2 AreaSe41~1•.... a3fi.S~n
Meta- SAC Charge 125.00 Park Fee:.....
BUIL~ING PERMIT otne ToTnL Pnio.: ;~,~2FL
Receipt
Joseph M. M 22.a~r Construct•_ion
Permission is hereby granted to
Building on Lot No. ~ `Bloc 21 Subdivision Ilonnsy' s Vall~• Park 8th At2cln
Parcel No. ~2~-21177-t21iJ-21
in the CITY OF LAKEVILLEto be used as PeY~tti t tc+ Co:~t~truc i - ?
Thispermitisissuedontheexpressconditionthatthe ~ 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 P ~'•tLl ~ti].?.er
[erector License and Inspection
4
~ Call for inspections -469-4431. Bye ~ - a -
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1~ APPLICATI F'OR BUILDING FER!!Ifi
CIT OF LAKEVILLE
8747 Z08 St. W. P.O. Box M
~ Lakev lle, MN 55044
469-443i
Job Site Address: ~ C~ ~
Legal Descriptions Lot ( • •Bl k~ J Addition ~C~~-~-~1 ~
OMmer Phone
Address ~ ~ ~
Contractor Phone- • •/"r'~ ~
• Rdd ea s ~ ~G~C~`d~ w
Class of Work: ~ Erect ( )Alteri ( )Repair ( )Enlarge t )Move ( ) Demolish
Proposed Use (Desscribe in Detail)
HeatYnq Contractor
Plumbing Contractor
Sewor & Water Contractor
Electrical Contractor
Special Conditions
Valuation of Work: S
Signature of Applicant z Title: ! ( FOR CITY USE ONLY
~/f I Zone
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` City Fee S
Date - ° Plan Check S
Signature of Zoning Officer: Surcharge S
SAC S
r ~ G~
Hook-ups S ~
~ ~ ~
Date
I
Signature of Building Inspector: Area Charge S
Other 5
Total S 4
Date
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