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No 13183
~ l~~V~ ~IOV22tt~7~'7C ~.4, 19 Valuation 5~?4~Q.00 Water Unit 78®,0~ Clty Of Lak@VI~~@ Bldg. Permit Fee 2fi~-~}Q Sewer Unit 57.x.©Q State Surcharge . 25 . fl4 X9ti;8~t Area ..S~~~r.. 23$.04 Metro SAC Charge 425 - Park Fee Other TOTAL PAID.... ....~2 ~32b.'r'~0 BUILDING PERMIT & Receipt Permissionisherebygrantedto Joset~ti ~ t~fi2ler ~oxtst~uCtion, ~tztr, .Building on Lot No. Block ~~i Subdivision DOI1T1<~1V s ~ V~~.~..2F Park ~3th Addis. Parcel No. 7 ^-~2 5.17 i --14th--14~ in the CITY OF LAKEVILLEto be used as pe7Ct;tit t:o Construct 8i~~1~ fami3.~5* dwel~.in~ 7hispermitisissuedontheexpressconditionthafthe ~ ERECTION ' ALTERATION REPAIRS i ENLARGEMENT MOVING DEMOLITION respects to the statements certified to in the application for such permit, and .that all work shall be done in accordance with. the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota pertaining to theconstruction ofbuildings. Street Address lf~3fs1 Fantasia Ave?nue ~i~ i~il~l~r Director,iicenseand Inspection _,i' Callfor inspections.- 469-4431. By ~ l r c,,~ 1 i I~ a O? ~ 1 . APPLICATION FOR BUILDING P~.MIT CzTY OF LAICEP .Tv 8747 ZO$th St. W., P.0.3ox 957 3 LakevilZn , . MN SS044 (6l2) G69-4431 Job Site Address / R ~ y Legal Description: Lot Block edition .~(~~.C;~~:~~;,~-,/~ 0 Owner Phone Address P,O.Box: City Zip . Contractor JOSEPH M. MILLER CONST, INC. Phone 431_-2001 Address 18133 Cedar Ave P.O,Box: City _ Farmington Zip X5024 _ Class of Work: (x) Exec- ( ) Alter ( ) Repair ( ) Enlarge ( ) 'have ( ) Demolish Proposed. Use (Describe is Detail) New Home J4` Commercial: Square Feet ~ employees Heating Contractor Controlled Air Plumbing Contractor Hiltner Plumbing Sewer & Water Contractor _ Plvmount P7 umhi nn Electrical Contractor Midland Electri ~ Special Conditions q'a_Iuation of Work: $ . FOR CIT° USE ONL? ~Sigrtature of Applicant S Title: 'J~3~~h~ City Fee $ , G' cJ Plan Check $ Surcharge $ ~ (f ~ ~ Data SAC ~ $ ~ ~ ~ ~ i Signature of Zoning Officer: ~ i S/W Units $ f;,j ~ I t"i` •DatB Sewer Area $ _ ~ C~ ~ Signature of Building Official; Street Area $ I ~ Park or Misc. $ Total $ ~ C~ Date: SID MILLER, $IIIZDL-SIG Il4SPECTOR