HomeMy WebLinkAboutNo 12677
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? e~ r~#~ April 4, 19 6b
7~®.ao
Valuation ~ ~ ~~JO. (1~ Water Unit . ,
Cilt~/ Of Lak@VI~~@ Bldg. PermttFee 313.17tJ Sewer Unit ~75.OQ
' State Surcharge 30.On S4~ree~.AreaSiewe r... 238. {;d I
Metro SAC Charge y'Z~' -Park Fee .
Other.......
BUILDING PERMIT TQTAL PA~~.........5?.~~~ .coo i
Receipt
Permission is hereby granted to YOB Mf13.er Con~t
~ Building on Lot No._ 19 Bloc! 1 ~ Subdivision Dnnna~ t a~ Park t~th Ac~~n
~ ~zz-zzl'~-~~~-xr
j Parcel No:
in the CITY OF LAKEVILLE lobe used as pelt ro pQnstl'ttct ~'31l"l~~.P. $am~.t~t dWe~ ~.in
This permit is issued on the expresscondttionthatthe ~_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 1~3fi2 Fazttasl~ ~Verttt~ ~icl '`'i~.]e~'
Director, License and Inspection
Callforinspections-469-4431, BY,, ~
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APPLICATION POR BUILDING PERMIT
CITY OF LAKEVILLE
8747 208th St. w. P.O. Box M
Lakeville, MN 55044
469-4431
Job Site Address: ~ ((J ~`T
Legal Descriptions Lot • •Block=_1?ddition U~(1 nGUI~ U~t ~~Q~t.~ I"t~ ~
Owner Phone
Address ~a
Contractor Phone ~ ~ > > ~
Address
Class of i~Tork:Erect ( )Alter ( )Repair ( )Enlarge ( )Move ( ) Demolish
Proposed Use (Describe in Detail) Z~/
Heating Contractor ~/Yl~~~~~~~
Plumbing Contractor ;%~'(~J~/1/_~_/~
Sewer i Water Contractor
Electrical Contractor ~'~~.l~r'-~
Special Conditions
Valuation of Work : 5 ~-~f~';1"_71~ Ts2 r1ri~,~%'
Signature of Applicant t Title: ~ FOR CITY USE ONLY
~ Zone
~~~'~E~ ~ _ City Fee 5_~~,~ ,t"r ~
Date Plan Check S
Signature of Zoning Officer: Surcharge S b
SAC S
Hook-ups S.~<~ ~
Date
Si nature of Buildin Znsnector: Area Charge S t '~l1 -
q g -
Other S
Total S~ • ~ ~
Date