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No 12892
o~. Valuation 6~, COQ. {l~ Water Unit 730. ~n Cilt)/ Of LakeVl~ ~2 Bldg:. Permit Fee 313 • ~C Sewer Unit 575 . f}~? State Surcharge ~C ~ Area Se~w~r. „ 23~ . .Metro SAC Charge LF ~ 5 • Ct) Park. Fee- . . BUILDING PERMIT Other.....:..:........:. TOTAL PAID........~2•~~Z•~n Receipt Permission is herebygranted to .1aS0Ph Tsil3er C4nStrttCt~~t1 Ine Building on L~No. 1.5 Block I ~ Subdivision L~ortnay's Valley Park ~3th Addis. Parcel No. 22--21177-15~-11 ~ in the CITY OF LAKEVILLE to be used as pezt[~~t to COL15t:)"t2Ct: ~.~i~1-e £am.il~,r dwe111~np This permit is issued ontheexpressconditionthatthe ~ ERECTION 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 Minnesota pertaining to the construction of buildings.. Street Address lh?Qtn Fanr9cia t~crta„~gtta `•'~~r1 Aii71~z Director, License and Inspection Call for inspections-469-4431 BY ~ a~~ ~ ~ ~ `'I . ..APFLIC?,TION FOR BUIZDING Oro ~ 1 OF LAIC~PILLE _ .-~"cIT - - 8747 208th St. W., P.0.3cS 957 . ' - Lakeville , . ITT 55044 - "~t`,'' (612) X69-44 31 z Job Site Address - ~ ~ - • Legal Description: Lot Block Addition~s2~.~f Owner - Phone - . Address P.O.Box: City Zip Contractor • - Phone a2Q©/ Address 3~ P.O.Box: _ City ip S.Sf o2~ Class of Work: ) erect ( ) Alter ~ ~ Repair Enlarge ( )?'cove. ( ) Demolish - Proposed Use (Describe is Detail) Commercial: Square Feat . ~ Employees Heating Contractor G~`!/t/ Plumbing .Contractor Sewer & Water Contracto - Electrical Contractor Special Conditions - oaluatian of Work: $ ~3`ac~'~.. .ES'J ~`Sigstature of Applicant b Title: FOR CIT° USc ONLY S'~1,?'~~ sis,~ City Fee $ r ~ ~l Plan Check $ . Date _ -~.5 Surcharge - $ ~1 ~ . SAC $ ~ Signature of Zoning Officer: - - S/W Units $ E~ •Date Sewer Area $ ~ ' Signature of Building Offi~•;=1• Street Area S Park or Misc. $ . , Date: - Total $ ~ z SID ~ZLDL'~IG IY+ SPECTOR I~