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HomeMy WebLinkAboutNo 12618 , ry c Janu~xr~L, i s 85 Valuation ~ ~ „y^.~ Water Unit ......~$n_._ _~S~ CltyOfLakeVtlle BIdg.PermitFee......... IZR~-~D SewerlJnit........... S75-n© State Surcharge • • • - 2S O(L Area .Sek+&]:... 23R -0:~ Metro SAC Charge........ 5 _ Iltl Park Fee BUILDING PERMIT other ToTA~ P,e,lo s ~alL Receipt F' Joseph M. ;Mi11~.r Gonatrttct~.an .Permission is hereby granted to Building on Lot No. Bloclc 11 Subdivision ~)otltSy T 8 V811eq Park 8th Parcel No. ~#~2°21177'-20~-13 in the CITY OF LAKEVILLE to be used as Pe~I€t3.t CtanstruGt 8in.nle f Emily dwellitxg I ~ This permit is issued on theexpressconditionthattheERECTION 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 1~3€3J Fantasia Avenue Sicl av111.~.er Dit'ector, License and Inspection - - Callfor inspections - 469-4431:: BY G, 9~ r Q, ~ ~ r ~ " APPLICJITION FOR BUZLY)ING 2"EF2MZ7' CITY OF LAKEVILLE 8747 208th St. W. P.O. Box M ~ Lakeville, MN 55044 469 -44 31 Job Site Address: ~~;.~d~~- Legal Description : Lot ~ ~ • •Block~Addition Owner ~ Phone Address Contractor Phone ~y- Sf~S,3 • Address Mass of work: ~ Erect ( )Alter ( D Repair ( )Enlarge i~Ve ( i Z3es~csiish Proposed Use (Des/cribs in Detail) ~~J Heat'inq Contractor ~/~~~~~~LC-~~~ Plumbing Contractor ;~~ZCJ ~1-1~~~ Sewer & Water Contractor Electrical Contractor c%~ ~ Special Conditions . Valuation of work: S~T, Signature of Applicant G Title: ~ FOR CITY USE ONLY / S~CJ~~~.'~C~+..~Z..>/~ Zone City Fee 5 t:.~~~+ ~rt p ~~n..•,..~:~-sal' ~.w "~`a..~~°~~~~ Plan Check S DaN Signature of Zoning Officer: Surcharge S SAC 5 ~ a~~F Hook-ups S ~ ~ ~ ~ ~ c. Date ~ Area Charge S ~ • Signature of Building Inspector: Other S Total S ~ Date