HomeMy WebLinkAboutNo 13010 Au ue t 7 19 `~i,5
.Valuation 7S _ nnfl_ n[1 Water Unit
C1t~/ Of La{(2VF~~E Bldg. Permit Fee.. ~ 358, 00' Sewer Unit S7.5.;3t~
StateSurcharg2 Area..$~W$)~.. ' '38.f)£'1
Metro SAC Charge . , 425.017 Park Fee.. 5 r~_ 1
BUILDING PERMIT other .p~.~F# . ~h~G~4 ~ TOTAL PAID..
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.Permission is hereby granted to f~".*~@IIri BQth ~Td~ fhaci@rs
Building on Lot. No. 17 Bloc! 11 Subdivision ~
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Parcel No. 22-211?--170--1T
i~t~#he CITY OF LAKEVILLIr to be used as ~vermit try ~e.+~~ art ~Rina1 ~ f~>wi ~ ~~g1li~.g
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ThisperrYiltisissaede'`ntheexpressconditionthatthe ~C ERECTION ALTERATION REPAIRS
y'`fNLAROEM~NT 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 tothe construction of buildings.
Street Address 1h'~9F, F'mrstAe~ A Ay_c„+.aa -a$~ ~~~~sa~ _
vector, License and Inspection
Call for inspections - 469-4431. BY „~,.~--T--- ~~"`y ~
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AP?LICATZON rOR BIIILDZNG CITY OF L~II.I.E .
. 4~°-'`'-I~ 8747 208th St. W. , P.0.3ox 957
. ~ LakeviLe,. MN 55044
C612) ~69-f+431
Sob Site Address ,~d~•L~ ~l ~ I,~-# ~~P~
Zegal Description: Lot r~ Block Addition ~ /Jyg)/~:
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Owner _lL7 ~ L° h,~'9.~ e°~ r~~ Phone ~ ?j j a3
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P.O.Bo
Address ~3
7~ ~ ~
y 5 c c~
it ~ l9-
9 ~ ~ Zip.
Contractor n ~ ~ (.n~0\~ Phone
Address ~iJ ~ ~ `l~ '~}r ~
~ °x' , e
Zip
Class of Work: Erect ( ) Alter ( ) Repair O Enlarge ( ) *.iove
( ) Demolish
Proposed IIse (Describe in Detail) Ire y ~L.r~h,~ ~JC" ~
Commercial: Square Feet ~ Employees -
Heating Contactor ~ ~ ~ I YV ('A1~ L~ 1 ~ ~ -1 ~ ~l~
Plumbing Contractor ~'1 Ld ~ ~ ~ ~~V?~ t W ~
Sewer & Water Contractor ~ /L~l~ i~h~
Electrical Contractor ~ ~ 51'O~'?f t°L
Special Conditions
valuation of Wcri~: $ <:~1:~ .
FOR CITY IISc ONL°
Si t re of Applicant 6 Tit e:
~ City Fee $ . ca J
Plan Check 1 ~
Date ~ 1 ~ ` ~ ~ Surcharge $ ~ ` 1 . ~aS ~
SAC $ ~
Signature of Zoning Of~icer: ~ _
S /W IInit s $ ~ ~ ~ 1..5 ~
Sewer Area $ ~ t ~ .
'Date
Signat•.zre of Building Offica.al: Street Area $
Park or Misc. $
. Date: Total $ ~
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S~ 2SIIS.'c3, BUILDZ+IG INSPECTOR