HomeMy WebLinkAboutNo 12095 City of Lakeville
INSPECTION L~LPARTMENT
~~~~.r.~ ~ wAx~~~v~~~ ~~.BUILDIt~-~ PERMIT Valuation StJ,i~A~J.4o
• AID ~ p~ • & R QCe! pt Building Permit Fee 283.OtZ
225 . CtC~ ~T`~v,+:~i !=.RR~ '?I+ . State Surcharge '25. Qtf
TOTAL FEE PAID ~Qg •
J~&~.ph 'i~;ll.er ~~zt~t.
Permission is hereby granted to
Building on Lot No. -Block ~a ~ ~ Subdivision ~9.a~S ~~1Z~5' P~.xk ~3th Addn
Parcel ~22._2I.~~7-~fl1:Ctr.~~ Plat
in the CITY OF LAKEVILLE to be used as Sn~l~ fa~i~.~ draellinx
i
This permit is issued on,the express condition that the ~ ERECTION _J4LTERATION REPAIRS
C ~~NLARGEMENT MOVING -DEMOLITION respects to the statements certified to in the application for
I
such permit, and that ail work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota and the-State of Minnesota
pertaining to the constlruction of buildings.
Street Address Avr~' Mt11~r
~ Director,ticense and Inspection
Attention is particularly called to the cutting up of streets, making main sewer f
connections, driveways and curbs. ObtainpermitforsuchconstructionfromtheClTY y' , r
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to By t'`- ~t r .G
Public tJtilities.
APPLICATION FAR $UILDING PERMIT
CITY OF LAKEVILLE
8747 208th St. W. P.O. Box M
Lakeville, MN 55044
~~Q~ 469-4431
Job Site Address :
Le 1 Descriptions Lot ~ •~Bloek f~ Addition ~
Owner Phone
Address
Contractor ~ i~~- ~ Phone,,~~~
Address ~d ~ ~ ~ ~L
Class of work : ~ Erect ( )Alter ( )Repair ( )Enlarge ( )Move ( ) Demolish
` ~
Promised Use (Describe in Detail)
HeatYng Contractor
Plumbing Contractor
Sewer & Water Contractor
Electrical Contractor,~~/~ M1
Special Conditions
Valuation of Work: S ~ ~''w`'
Signature of Applicant & Title: ? FOR CITY USE ONLY
(~~~~r~/G~ ~ Zone
~~m~~ City Fee S c~ . ~ c~
Date ~ ' ~ / -~j Plari Check S
Signature of Zoning Officer: Surcharge S u~~
SAC S
a
Hook-ups S~/,~ i.J A
Date
Signature of Building Inspector:. Area Charge.
Other S
Total S ~ ~r` ~l° ,
Date