HomeMy WebLinkAboutNo 12166 City of Lakeville
INSPECTION :DEPARTMENT
BUILQING PERMIT Valuation
~t RP,CeI p~ Building Permit Fee ~ •
State Surcharge ;
TOTAL FEE PAID 3.~L-
Permission is hereby granted to ~laug~.~t ' ~ 4 t~'~n~'z«
1®nnaq~ V~lle~ ~'~tk 8t~t ~ddn
Building bn Lot No. ~ Block ° Subdivision
Parcel;~~~•-2~~~7-{33~~21, Plat
in theClTY OF LAKEVILLEtobeusedas ~'~Xu'~~* '''Z.corl,~t:r°°c~- ~s?c~
This permit is issued on the express condition that the -ERECTION ~JILTERATION REPAIRS
ENLARGEMENT -MOVINGDEMOLITION tespects to the statements certified to in the application for
such permit, and that all work shall be done in accordance with the Ordinance of ~AKEViLLE, Minnesota .and the State of Minnesota
pertaining to the construction ofbuildings.
StreetAddress_ ~v2~i ~erxtat~dc~ a~~. S3.d'Miller
Director, License and Inspection
~
Attention is particularly called to the cutting up of streets, making main sewer
connections,drivewaysandcurbs.ObtainpermitforsuchconstructianfromtheCiTY j
OF LAKEVILLE' ihspection Department. Not Responsible For,Any Damages to By ~ ~~'-a'~ '~~'.~r"~--tom--
'F'ublic Utilities.
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' APPLICATION FOR BUILD CITY OF LAKEVILLE
ZNG PERMIT 8747 208th St. W., P.O.Box M
Lakevi e
11 MN 55044
(6I2) 469-4431
Job Site Address ~6e~.~ "7 ~~~I
Legal Description: Lot Block Addition '
`
Owner a ~ r~~i~. Phone
~~~E~~
Address ~~~'St',~i~`ot/~ f, rs~ai/~.~~1 ~~~~~oa~~~
~~rt r~i a~~G~ G~G`E~ t~ City _ ~f't tdr~'/G. Zip ~"P~~~'
Contractor Phone
Address
City Zip
Class of Work:. (N'~ Erect ( ) Alter ( ) Repair ( ) Enlarge ( ) Move
( ) Demolish
Proposed Use (Describe in Detail)
Commercial: Square. Feet ~ Employees
Heating Contractor
Plumbing Contractor
Sewer & Water Contractor
Electrical Contractor
Special Conditions
Valuation. of Work: $ 3~®~
FOR CITY USE ONLY
Signat of Applicant & Title.:
r` ,,,a' City Fee $
Plan Check $
a~rn~ @'~/`rF"r~r-
Subtotal )
Date
Surcharge $ S
Signature of Zoning Officer: '
SAC $
S/W Units $
Date
Area Charge. $
Signature of Building Official:
Other $
Date: Total $ ~ ~ ~ ~
SID MILLER, BUILDING INSPECTOR