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HomeMy WebLinkAboutNo 12304 ~ City of Lakevi l~le INSPECTION .DEPARTMENT BU~L`DING PERMIT Valuation 2,50t3•Q4 Revel pt Building Permit Fee • State Surcharge ° ~d TOTAL FEE PAID Permission is hereby granted to A. ~ Building on Lot No. ~ Block Subdivision ~nrt^~~3ttR 1 acv Asrk Rah fa~~n Parcel x,'22-~3.13'7~-t~4n~~-~.t9 Flat in theCITY OF LAKEVILLE to beused as t M _ w This permit is issued on the express condition that the ERECTION.. ~ nLTERATION REPAIRS -.ENLARGEMENT _JIAOVING -~EMOLITION`respects to the statements certified to in the application far 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 ll6'2 ~eS 11'.r++s,+.l.. ~+ii3'#rsr .Director, License and Inspection Attention is particulariy Called to the cutting. up of streets, making main sewer y connections, drivewaysand curbs. Obtain permii'forsuch construction from the CITY ~ / x~~ -OF iAKEVILLE: Inspection Department Not Responsible For Any Damages to 8y ~ ~ Public Utilities. ` ~ ~ f ~ ~D 1 f 'F APPLICATZOtd FOR BUILDING FAIT CITY OF LAKEVILLE 8747 208th St. W., P.0.3o$ M • Lakeville, MN 55044 (612) 469-4431 - Job Site Address _ ~ .2.3 ~ ~ ~ ~c~ • Legal Description: Lot Block Addition f . :A / Owner sC~/~V Ci,:= O'T v l~ Phone ~3/ _ ~ ! Address ©S~ ~~U % / 3 ~ / ~ 2 ~ VD ~.i/f-~ ls' City _r~~l~~%~ ZiP ~G r 5'P Contractor S-~'G f= Phone Address .S-i~~ ~ City Zip Class of Work: Erect ( ) Alter ( ) Repair Enlarge ( ) ?Move ( ) Demolish Proposed Use (Describe in Detail) ~urC / ~ `r J~ _ ~ ~ Commercial: Square Feet ~ Employees Heating Contractor Plumbing Contractor Sewer & Water Contractor . Electrical Contractor Special Conditions Valuation of Work: $ /S~G~~~ FOR CITY USE ONLY Signature of Applicant & Title: I. , ~ City Fee $ ~ , ~ ~ Plan Check $ ~ Subtotal ) Date ~t,° c-~, G ~ C~ Signature of Zoning Officer: Surcharge $ ~ ~ ~ SAC $ S/W Units $ Date Signature of Building Official: Area Charge $ Other $ Date: Total $ _ Q SID MILLER, BUILDING INSPECTOR