HomeMy WebLinkAboutNo 12649 '~4a r~k~ 13~ , 1 g
Valuation Y +.%~r3.0(? Water Unit
CIt~/ Of Lak@VI ~I@ Bldg. Permit Fee . 2S • Sewer Unit .
State Surcharge ~ • Street Area .
Metro SAC Charge Park Fee . . .
BUILDING PERMIT Other......;....:....... roTAL P,e,~o.... ~ ?~~.~aa
& Receipt
. a~ `Arty, ~"r~s?c~~-y La_n~~, t?'w~~~s-~
Permission is hereby granted to'
~cn~Y~y~s ~ ev :Partin `~t:?~.
Building on Lot No. L ~ Block. Subdivision `-y
ParcelNo. ''?L-:1.17?-~l.l~a-~:n
in the CITY OF LAKEVILLE to be used as ~~r~'3t 1• ~ ~ .LrsT.~, ' ~
This permit is issued on the expresscohditiortthatthe ERECTION. tt ALTERATION REPAIRS
ENLARGEMENT MOVING DEMOLITION respects to the statements certified to in the
application for such permit, and that all work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota and
the State of Minhesota pertaining to the construction of buildings.
a.'~~.`~~1 ~:'e 12 t' _..'T ~3 J°-S6P'-~1E#i~ ~~.rt ~,~'X'
Street Address
Director, License and Inspection
.
Call for inspections - 469-4431. BY ~ ~ ' ' ; `
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_ "APPLICATION FOR BUILDING P~tMIT CITY OF LAKEPILLE
8747 208th St. W,, P,O,Bax 957
. Lakeville,. MN 55044
(612) 469-4431
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Job Site Address~C~ ~ ~ ~y-.
f /+9 tiw /
Legal Description: Lot Block Addition
Owner f e~''G" Phone - d~ ~ ~
Address 3 S fi~it,,~~-~ P'0•Box•
~ i~' f/-G City .~i~`!d~/~+~ Zip Q
Contractorj~~c~
' ~ Phone
Address P.O.Box:
City Zip
Class of Work:. ( ) Erect ( ) Alter ( ) Repair ( ) Enlarge ( ) *iove
( ) Demolish
Proposed Use (Describe in Detail)
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Commercial: Square Feet p;~,. ,,~.-t- ~ Employees
Heating Contractor ,1Ic~~~ve
Plumbing Contractor ~j'~.v ~r't.
Sewer & Water Contractor ~,t,~ ~c.~L.
Electrical Contractor ~ ~ ~
Special Conditions
Palua.tion of Work: $ 1 j~
' FOR CZTY USE ONLY
~Si tore of Ap cant ~ Title:
City Fee $ p
1.
Plan Check
$ ~ -
I
Date ~ ( - ~S Surcharge $ ~ ~ G'
SAC - $
Signature of Zoaing Officer:
S/W Units $
Date Sewer Area $
Signature of Building Official: Street Area $
Park or Misc. $
. Total $ ~ ~ c~ d'
Date: .
SID MILLER, BUZLD~tG INSPECTOR