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HomeMy WebLinkAboutNo 12005 _ hi ~ , I s.., ~ Novemb~x• 4. 1s 83 ~ City of Lkevi I le ~~;~~.u~ od• INSPECTION~DEPARTMENT ~:y~.oc~ S~raer Axea ~d.gUILDING PERMIT vait,ation ............~,aa0.oo ~tx' .0~ Se~a~~r. knit ~'d. ~~~?.^;;ia Cd~~~r Uxaft Pd. & Receipt Building Permit Fee 299.1)0 1 State Surcharge 26.00 TOTAL FEE PAID 31~ . OO Permission is hereby granted to *~~S ~ Y i~(-~ ~ ler ~anstrtictf.on Building on Lot No. ro ~ Block 1Q Subdivision ~t~rk ~cidn Parcel ~2?-~~?i' ; 7~12~~1_.t ~ Plat intheGlTY OF LAKEVtLLEtobeusedas ~'~rmit: ''r raas~rut~C Sitt~l.~ i~etltily d~rel3it~~ - M©d~l 1~~33035 i ~ This permit is issued on the express condition that the - -ERECTION ALTERATIONREPAIRS ----ENLARGEMENT --MOVING DEMOLITION respects to the statements certified to in the application for j < such permit, and that all work shall be done in accordance wish the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota ' pertaining to the construction of buildings. Street Address ~.fzat~5 F'_ tzee3~.~ liyen;t=~ Sid Miller Director,'License and Inspection Attention is particularly celled to the cutting up of streets, making main sewer _ connections, driveways and curbs. ObtainpermitforsuchconstructionfromtheClTY %'A ~%Y OF LAKEVILLE.'Inspection Department Not Responsible For Any Damages to By `f'~ Public Utilities. ~ 1 ~ ~ ~ APPLICATLO~+1 FOR B~)ILDZNG PERMIT CITY OF LAKEVILLE 8747 208th St. W. P.O..Box M . Lakevi3le, MN 55Q44 69-443], fob Site Address: ~ Legal Description: Lot Block ~~7 AdditfonJC~ G°~4:~~' 2 Owner Phone .Address Contractor Phone Address Class of Work : t~ ect ( )Alter ORepair ( )Enlarge ( )Move ( ) Demolish ~ Proposed Use (Describe in Detail) y~~i~/2~~ C~ Heating Contractor Plurdainq Contractor ~ ~ Sewer 6 Water:Contractor Electrical.Contractor ~ ~ Special Conditions Valuation of work: S ,fz ~ a, (~l~® _'T' i Si ure of Applicant & Title: FOR CITY USE ONLY Zone ~ City Fee S ~ / Date l~ G~'~ Plan C;hae~k $ _ Signature of Zoning Officer: Surcharge S~ e.. C3~ SAC Hook-ups 5 Date ~ Si nature of Buildin Inspector: Area Charge S ~ g _g _ i Other 5 Total S ~ oC " Date