HomeMy WebLinkAboutNo 13366 ~k1px'i~ 1 s 19 ~o
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Valuation ,
~ilt~/ Of ~ak2Vl ~ ~2 Bldg. Permit Fee ~ • Q~ Sewer Unit ~f)5 _ ~E"f_
State Slarcharge . X2.0(}Area . Sez~a~x 2 5~i _ !~f
T Metro SAC Charge ~ ~ ~ - .Park Fee .
B~'LD'~G PERM1 1 Other.~7.~3i2.C11E.Cit.. ~1~.~}fl TOTAL PAID........, ? 7?'~...~'!
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Receipt
Permission is herebygranted to ~~~~-er Con~3trctCtion
Building on Lot No. 1 ~ - Block ~ Q Subdivision nanna}L~t Va17 ~q Par Rrh Arl~t2
.Parcel No.~ ~ 1IJ7 Lb~ ].t)
in the CITY OF LAKEVILLE to be used as t to con~strLrt yin gl~
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This permit is issued on the expressconditionthatthe ~ 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 16 "l25 F8nta>;ia 13Vw_nit~ ~r„~.9s*a ~ F _ Kri n~,~
Director, License and Inspection
Call for inspections - 469-4431. BY ~ ~ ~ ~ A `
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BUILDING PERMIT. APPLICATION y
` ONE AND :TWO FAMILY RESIDENTIAL
CITY--0F LAKEVILLE .
INSPECTION DEPARTMENT ~
8747 208TH STREET W.
P.O. BOX 957
LAKEVILLE, MN 55044
469-4431
DATE : ~ ~
JOB SITE ADDRESS: ~ ~C.~Cr~C' ',1 ~`i C.GGd„~.
LEGAL DESCRIPTION:. LOT: BLOCK: SUBDIVISION DR SECTION; ~
OWNER: Joseph M. Miller Const. Inc. PHONE.: 431-2001
STREET ADDRESS: 18133 Cedar Ave. So. CITY: Farmington ZIP: 55024
CONTRACTOR: Joseph M. Milelr Const. PHONE:
STREET ADDRESS: CITY: ZIP:
CLASS OF WORK: NEW: X ADDITION: ALTER/REMODEL: DEMOLISH;
PROPOSED USE (DESCRIBE IN DETAIL) : ~i~gle llS~D~
VALUATION OF WORKEXCLUDING LAND): ~ ~j ~1T3~p~-'-"
I HEREBY APPLY FOR A BUILDING PERMIT AND I ACKNOWLEDGE-THAT THE INFORMATION
ABOVE IS COMPLETE AND ACCURATE; THAT THE WORK WILL BE IN CONFORMANCE WITH
THE ORDINANCES AND CODES OF THE CITY AND WITH THE STATE BUILDING CODE; THAT
I UNDERSTAND THIS IS NOT A PERMIT AND WORK IS NOT TO START WITHOUT A PERMIT;
AND THAT THE WORK WZLL BE IN ACCORDANCE WITH THE APPROVED PLAN.
Ap ant`s Signature: FOR CITY USE. ONLY
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~ ~ Date: ~ Zone ~~o~
Permit Fee $ 3~~ .O~
Plan Check $ y~/~ QC}
Buildin fficial 's Signature:
Surcharge $ d~
Date:~'c~
SAC $ D~
Comments:_
S/W Units $ f`T
Sewer Area $ p~ ~ ~ .
Park or Misc. $
TOTAL DUE $ 7d 3 . Q~
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