HomeMy WebLinkAboutNo 13650 ~i
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Valuation FMS, 24~. fl~ Water Unit.:. , A2(1.1717
Cilt~/ Of Lak@Vl~~e Bldg. Permit Fee '~'~4.I"il7 Sewer Unit . fi05. RO
State Surcharge . , . 'i3 _ ~'it"i YArea e~rex ~
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Metro SAC Charge !s 7 ~ _ Park Fee ~
Other ~.1~TU..Cs':t~c~.... ? 17 - TOTAL PAID._ ........~~7 34 _
BUILDING PERMIT ~ ,
Receipt f`''
Permission is herebygranted to ~D~~~r~~~~-~'
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Building on Lot No. Block ~ ~ Subdivision- D~nrt~~ ~ ~ VA1 1 ~s~v PArk Rt•h A
Parcel No. ?2-xat77-~Zt3--11 1.
in the CITY OF LAKEVILLEto be used as ~
Ar,~~t ~ rose;*r'i'et sin~~~ fatnil ~ d~rell Ang
.:This permit is issued on#heexpresscondition that the ~ 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
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the State of Minnesota pertaining to the construction of buildings.
Street Address 154t~b ~g~z~a~a Av~ntxe O~vics. Kritzer
Director, License and Inspection
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Callforinspections-469-4431.. By ~ F
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BUILDING PERMIT APPLICATION ' t----~~
ONE AND TWO FAMILY RESIDENTIAL V
CITY OF LAKEVILLE
INSPECTION DEPARTMENT ~
8747 208TH STREET W.
' P.O. BOX 9S7
LAKEVILLE, MN 55044
469-4431
DATE : ~ O
JOB SITE ADDRESS : /L ~G v ~c~y~
LEGAL DESCRIPTION: LOT:~~ BLOCK: SUBDIVISION OR SECTION;/,~~!-~,L~~^~;~
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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): S-~~l~e Fam}~,r
VALUATION OF WORK (EXCLUDING LAND) : ~J G'Lrc'.~
I HEREBY APPLY FOR A BUILDING PERMIT ~~I AC
OWLEDGE 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 PERMITS
AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN.
Applicant's Signature: FOR CITY USE ONLY
Date: ~ ~ Zone "
Permit Fee $ ~:'S ~ .f
Plan Check $ .
Building ficial 's Signature:
Surcharge j .P~
g s
- ~f.~ Date: ~ `
SAC $ . C~T~ C~9~`''~
y7~
Comments : ~
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S/W Units $ j
Sewer Area $ ~ ~ .
Park or Misc. $
~~j TOTAL DUE $ ~ • Cg C~
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