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Valuation 5iZ _ tlftfl _ f111 Water Unit ...........-,7t2[t
CltyOf Lak@Vl~~e Bldg. Permit Fee.... ,R~-n~ Sewer Unit......... ~7~.i:~9
State Surcharge '3 K nD > Area .SBw~sr. , • 2 ~R U~
Metro SAC Charge G? 5 _(1A Park Fee .
BUILDING PERMIT Other.....< Tora~ PA~o.........~.~,~--
Receipt
4 Jaseph A~: l~t~.ll.er Conatruct~.on
Permission is hereby granted to
Building on Lot No. l~ Blocl~ Subdivision `B~'n~'~y~ s ttalley Park $th
Parcel No. ~~-23~Z7Z-190~It
in the CITY OF LAKEVILLE to be used as Per~it try eonstruc t ~in~l a famil ~ dtaelLi~~
This permit is issuedontheexpressconditionthat.the ERECTION ALTERATION REPAIRS
~ ENLARGEMENT MOVING DEMOLITION respects to the statements certified to in the
application for such permit, and that ali work. shall be done in accordance with fhe Ordinance of LAKEVILLE, Minnesota and
the State of Minnesota pertaining to the construction of buildings.
Street Address 1627 Aven~~ Sid ~til~,er
~''c~tlfrB~~.E~7. ~1i~ + Director, License and Inspection
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Callforinspections-469-443k BY~s :.y F ~
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'w-. APPLICATION FOR BUILDING PERMIT
' ~ CITY OF IAKEVILLE
` 8747 208th St. W. P.O. Box M
~ O~ Lakeville, MN 55044
469-4431
Job Site Address: ~ ~ i ~1.~~
Legal Description: Lot~Block~Addition
Owner ~ Phone
Address
Contractor Phone ~SY- ~~5,3
3wd=sss / ~G-/.,.~G ~~%}/.J~LG?C~J ~i~%~y~~'l~l,J
Class of Work: ( )Erect ( )Alter ( )Repair { )Enlarge ( )Move ( ) Demolish
Proposed flee (Describe in Detail) %l/~/./~ ~~~~~'7Z~/
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Heating Contractor .4~22~~~~~G~
Plumbing Contractor j~~J ,.~/L/~ ~~~~~!/y
Sewer & Water Contractor '
Electrical Contractor
Special Conditions
Valuation of work: S ~ t'b't'~`j c ~ r'`~~
Signature of Applicant ~ Title: ~ FOR. CITY USE ONLY
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~ ~ ~ ~ ~ City Fee S ~c~ ~C1
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Date ~ / Plan Check S
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Signature of Zoning Officer: Surcharge S
SAC S ~ ~ ~ ~
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Date Hook-ups S ~ ~ J"~'
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Signature of Building Inspector: Area Charge S f.-:,. ~
Other S
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Total. S_,,~ ,
Date
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