HomeMy WebLinkAboutNo 12212 'I
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~i' ~ City of Lakeville
~~~d~~ 5~.c; Y~~• INSPECTION DEPARTMENT
~~c~.Un T~~{:~.~~ ~~'1~-~ ~'~•BUILDING PERMIT valuation sD,~~o.oa
~ ~1~? S~~~X ~ . ~ Building Permit Fee •
Receipt-
Sta#e Surcharge . bfi
TOTAL FEE PAID ~f~$ • {)Q
Permission is hereby granted to Sa8epxl ~{~~,~``3~ s~.:3xit3tr~uC'ir~,~'Cf
°Building on Lot No. 13 Block ~ 7 Sutxiivision ena~:g ~t~ 7 l aaw 'Psirlr tta-t, AAA.,
Parcel %r2~~^~:iZ~~-~.~D°-~~1 Plat
in the CITY OF LAKEVILLE to be used as ' ,
'This permit is issued on the express condition that the --~--ERECTION -ALTERATION REPAIRS
' -ENLARGEMENT -MOVING __~EMOLITION respects to the statements certified to in the application for
i such permit, and hat 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 1£~2a~i F~n~eats~.~'~.v~nu:e ~d~i Mi~:ller
Director, License: and Inspection
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Attention is particularly called to the cutting up of streets, making main sewer
connections,drivewaysandcurbs.ObtainpermitforsuchconstructionfromtheClTY f , ~f
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OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to By
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public Utilities.
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APPLICATION FOR BUILDING PERMIT
CITY OF VILLE
$747 208th St. W. P.O. Box M
Lakeville, MN 55044 '
.469-4431
Job .Site Address: y%~'~"
Legal Description: Lot f~ ~Block Addition
' f ? t~
Owner Phone
Address
Contractor -;i ~ ' y' ~ ~ Phone
' Address ~~~~~~,~e!%~'~-l.~'~~~~
Class of Work : Erect ( )Alter ( )Repair ( )Enlarge ( )Move ( ) Demolish
Proposed Use (Describe in Detail)
.Heat"inq Contractor ~ L
Plumbin Contractor L-'~~--
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Sewcr & Water Contractor
Electrical Contractor `%~L~
Special Conditions
Valuation of work: S^_,T c~~~''
Signature of Applicant & Title: ~ FOR CITY USE ONLY
~~11~,~~ f~~-~~~~~ Zone
` - ' ~ City Fee S o~ C~ ~ r
Da a i~lan Check S
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Si nature of Zonin Officer;. Surcharge. S ~ e d
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SAC S ~ S w ~
Hook-ups 5,1_S~t
Date
Area Charge. S ~p
Signature of Building Inspector:
Other S
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Total S ~ . e~
Date