HomeMy WebLinkAboutNo 12226 o- A N ~
City of Lakeville
INSPECTION DEPARTMENT
3l+tJA€D
$,+75.;x„ ~ BUILDING PERMIT valuation
~ :~1 Td..*.~r ~ftt ~ ~ Building Permit Fee ~
~;~5. c~~1,~.. & Receipt
`State Surcharge . , 7 7 -
7.:~~.''i0 S€~1~x~r Aria ~'c?. ~22.Of3
'TOTAL FEE PAID .
Permission is hereby granted to ~O*i@~I.t xi ~ ~ ~ ~(}xt9f:TI1C~ ic~A
Building on Lot No. Block Subtlivisionl2i~Txri;~~t r ~ iT~a11 ~v P"'~' A*ti ,~~ri.
Parcel~I?4-•2~~,~,"-3.4(~~~i Plat
i in the CITY OF LAKEYILLE to be used as
This permit is issued on the express condition 4hat the ERECTION -JILTERATION ~.-REPAIRS
ENLARGEMENT _JVIOVING DEMOLITION respects to the statements certified to in heappiication for
such permit, and'that ail work shall be done in accordance with the Ortlinance of LAKEViLLE, Minnesota and the State of Minnesota
pertaining to the construction of buildings:.
lh;c`'~ F~nt~sia A~r~srrs~ C~[ci "~.~.11~~
Street Address
Director, License and inspection
Attention is particularly called to the cutting up of streets, making main sewer
connections, driveways and curbs. Obtain permittorsuchconstructionfromtheCiTY' ,/i~""~~~'~
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to 8y -_.•~~~,~~c
.Public Utilities.
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. APPLICATION F $UI ING PERMIT
%Q~ CITY O V~LLE
8747 208th St,- W. P.O Sox M
Lakeville, MN 55044
469-4431
Job Site Address • ~ ' ~~;7~P~--~t~~C'
Legal Description: Lot ~f ~Block Addition
Owner Phone
Address
Contractor Phone ~
f
"Address _'~(_._~-1~~../C~~~- ,
Class of Work: Erect O Alter ( )Repair ( )Enlarge ( )Move ( )Demolish..
Proposed Use (Describe in Details ~
Heating Contractor
Plumbing Contractor
Sewcr & Water Contractor
Electrical Contractor ~
.Special Conditions
Valuation of work: S ~
Signature of Applicant & Title: ~ FOR CITY. USE ONLY
L' ~ Zone
City Fee S ~_~:s'
q
D e Plan Check S ,r_,.,
Signature of Zoning Officer: Surcharge S ~
SAC S ~ +:.1~ f
Hook-ups S_ ~,1~,.'_.l~"
Date
.Area Charge S ~
Signature of Building Inspector:
. Other S
Total 5-~-~~~=x~-~
Date