HomeMy WebLinkAboutNo 13132 ~ ~ct~~er 2~. 19
, 13 3
Valuation 54~ , 0~ Water Unit .
CL#)/ Of ~.ak@VI ~ ~2 Bldg. Permit Fee . 1.~, f~~J .Sewer Unit
State Surcharge • • • • • • • Street Area .
Metro SAC Charge Park Fee .
BUILDING PERMIT Other... TUTAL PAi~.; _ si~?.5r~
& Receipt
Permission is hereby granted to Michgel Johnson
Building oni_otNo. 1 ~ Block. Subdivision Uc~zlc38'4?s 'J81.1e}* Park $th Add.n.
Parcel No._22 ? 3 T?'7 j,,,'(7 1 1
f
~ in the CITY OF LAKEVILLEto be used as U@Y7ri~t Lr3 c~t28trtiCt: 10'Y12 ~ ut;ility shed
I This permit is issued on the expressconditionthatthe $ ERECTION ALTERATION REPAIRS
ENLARGEMENT MOVING DEMOLITION Yespects 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 Minnesota pertaining to the construction of buildings.
street address 165!+ Fa>stasia Avenue Sid Miller
-~~Director, License and Inspection
Callforinspections - 469-4431.: BY ~ L
AP°LIC?.TICN FOR BUILDING PE:ZMIT
' CITY OF LAKEVILLE
8747 208t.'~ St. W. P.O. Bax 957 - -
Lakeville , 1~I 55044
469-4431
Job Site Address : _ ~Cp ~ ~,¢5,~,~
Legal Description: Lot~Blocic Addition (,/g// g ~,,g~
c
Owner ~ c ,~l-.~ ~ ~i ~s ~a -e.1 Phone ~.3 f r 3 ~ :2 ~
Address ~ P.O.Box City . ~Q~~ Zip S_~~g
Contractor Phone
Address P.O.Box City Zip
Class of Work: (Erect: ( )Alter ( ) Repaix ( )Enlarge ( )Move ( ) Demolish
. Proposed Use (Describe in Detail) ~ , S ) ) ~
Commercial: Square Feat Number of Employees
Heating Contractor
Plumbing Contractor
Seger & water Contractor
Electrical Contractor
Special Condition- -
Valuation of Work : S ~f}f~
Sig'natur p icant & Title: ~ FOR CITY USE ONLY
~ Zone
City Fee $
Date - Plan Check $ •
Signature of Zoning Officer: Surcharge $ ~
-
SAC S
Date - S/W Units S •
Signature of Building Inspector:. Server Area $
St. Area $
Faris or Miss . $
Date
TOTAL $ ~..f
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