HomeMy WebLinkAboutNo 11770 9 tom; i~,~ ~ ~T' ~n ~ ~ , 19 ~
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~ ~ ~ City of Lakeville
. ~~~E. ~.N~PECTION :DEPARTMENT
. ,-wr~t* f~"`~!x?: Valuation ~ L -
BUILDING PERMIT
'a',i < t~ ~i;.~i: tl~~ r, ~a`~. Building Permit Fee t`
Receipt
7~~~. t. >z.:a€?t' :+~~_t: d. State Surcharge ~ a
t~s~.:~v
TOTAL fEE PAID. .
Permission is hereby granted to ~~t' i~ii7'~~ " ' "
Building on Lot No. Block L Subdivision ' ~~'~r~,~~'~ ~
Parcel ,fir ~ r r-- .~r ~.~1 Plat
in the CITY OF LAKEVILLEto'beused'as ' ' '
This permit is issued on the express condition Ghat the TERECTION -ALTERATION REPAFRS
_~NLARGEMENT -MOVING -DEMOLITION respects to the statements certified to in the application for
such permit, and that all work shall be dome in accordance with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota
pertaining to the construction of buildings.
Street Address` ;.,.~'~?M t`~--ca~'a:i~ ,,.:i~. _ j
Director,: License and Inspection
Attention is particularly called to he cutting-up of streets, making main sewer
connections, driveways and curbs. Obtain permit for such construction from`the CITY
OF tAKEVIiLE: Inspection Department 'Not ResponsibleFo~ Any .Damages to By - '+'~~~.°-'"~`b"'
...Public Utilities..:. ,r
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APPLICATION}FOR BUILDING PERMIT
CITY'OF LAKEVILLE
~ 8747 20$th St. W. P.O. &~x M
Lakeville, MN 55044
469-4431
Job Site Address: lDc,~l9~
Legal Description: Lot Block Addition
Owner Phone ,lSr~- ~7~~
,Address ~D L~
Contractor !lZ~~ Phone
Address
Class of Work: P~Erect ( )Alter ( )Repair ( )Enlarge ( )Move ( )Demolish
Proposed Use (Describe in Detail)__~~~~,~~~~e~/ ~(j
Heating Contractor LZ
Plumbing Contractor
Sewer & Water Contractor
.Electrical Contractor ~ ~ L~e%~C~e.- ,
Special. Conditions
4
valuat~.on of Work: $ ~ o~~
.Signature of Applicant & Title: FOR CITY USE ONLY
Zone
City Fee $ ~ ~d' ' l~
~i'"`.
Date Flan Check $
Signature of Zoning Officer: Surcharge $ ~l1~ . p f"
SAC $ ~ J'' ~ tJ ~
Hook-ups o
Date
Si natur of Area Charge $ ,
i g_ a Building Inspector:
Other $
Total $ ~ ~ ~ ~
Dat
e