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HomeMy WebLinkAboutNo 11854 - ~ ~ City of Lakev!!!e ~~iz.c~~o s~~ ~~.INSPECTION ~~PARTMENT s:~s.ca~ u~~.~ pa.BU1LDIN~ P~MIT Vawatlon s2~,~~cu.~o Se6~ax' Building Penrtit Fee. , , • Q~ Receipt. ~4C3.4t~ ~T~.~er J'a~i~ t State Surcharge 2F, _t1f1 TOTAL FEE PAID . t ~ -#>ermisslon is hereby granted to 34t~E~t=~1 '`S Millet ClYl.l~~i"tllGti.E311 ! TAC . Budding on Lot No. ~'T Block Subdivision L}ORt9~lIE ~ISi:i.C~ T~~irk '8th Addri Parcel ~ ~ l;. a a~ ^•i)! ~-21: Plat inthaCld'Y OF LAJ!t~VILLEtobeusedas' ;.b G~P11t~~titlGt ~l~~le fs$tilp d~ae~.~.a~ - Mad~l 193035 This permit is issuetf on the express condition that the ~EI4ECTtON ALTERATION ~REPAtRS _~NLARGEMENT M©VING ~~EMOLITION respects to the statements certified to in the ~Plication for such permit, and that alFwork shall be done in accordance vrith the Ordigance of 4AKEVILLE, Minnesota and the State of Minnesota pertaining to the c~rtstruction of buildings. Street Address ll'a~~f=~ "w~."n~anclci bt,~.~ ` Si.;~ *~tiller Director, license and Inspection Attention. is particularly called to the cutting up of streets, making main sewer' connections, driveways andourbs.ObtainpermitforsuchconstructiorfromtheClTY OF LAKEVILLE. Inspection Department Not. Responsible Fore Any Damages to By c~~~,. -~,~~~.-ti" Pubfic Utilities. ~c v u R, ~G ~ ~r _ /j APPLICATION FOR UILDING PERMIT J CITY OF VILLE ~ 8747 208th St. W: P.O. Box. M Lakeville, MN 55044 469-4431 Job Site Address : ~~o7S~~5'~ Legal Description: Lot~`$lock Addition C/ ~G~~ Owner c~~~ Phone Address ~~~GQ~GG•'v G~ Contractor Phone Address Class of Work : Erect ( )Alter ( )Repair ( )Enlarge ( )Move ( ) Demolish Proposed Use. (Describe in Deta~.l) e~l-ujtE~~2~e- l~c Heating Contractor G~ Plumbing Contractor_ ~ / J~~A+LC<~~~.'e%CQ Sewer & Water Contractor Electrical Contractor ' Special Conditions Valuation. of Work: $ Signature of Applicant & Title: FOR CITY USE ONLY j I' Zone - ls~ City Fee $ ~ ~ Date. - Pla?n Check S Signature of Zoning Officer: Surcharge $ SAC $ ~ 1 Date Hook-ups 5,~~ ~ - ~ Area Charge $ ?=~„s G 'c~` Signature of Building Inspector: Other S Total $ cam' ~ Date '