HomeMy WebLinkAboutNo 11822 City of Lakeville
INSPECTION DEPARTMENT
s~a~.ov sAC BUILDING PERMIT Valuation ~~,aoo.Qo
:'~aC, GC1 Watzr iJn~.t Pct.
54~ . U3 Se~~x' ~ln ~.t PcI. ReCel pt Building Permit Fee 191. t3f3
22 k~ . ~0 Sew~~ Aroma Pd State Surcharge 26 _ d(~
TOTAL FEE PAID
Permission is hereby granted to ,IOS? ~ ~q~41a+r +'"rrn~trnrtinY~T'f>n~
Building on Lof No. i, Block Subdivision t~
Parcel uf22-2I~,7 ~ °U4U-Uf Ptat
in the CITY OF LAKEVILLE to be used as ~'~"'?`"'t ~ Can~af ris~r+i- Lei
This permit is issued on the express condition that the ~-ERECTION -ALTERATION ~J?EPAIRS
~ __ENLARGfMENT 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 16393 Fa3'crv ~x~~ mid Mi~~~~
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer ,
connectiohs,drivewaysandcurbs.ObtainpermitforsuchconstructionfromtheClTY f~%~- ~ ~
OF LAKEVILLE. Inspection Department Not" Responsible For Any Damages to - By '
Public Utilities. °"rte G~.
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APPLICATION FOR BUILDING PERMIT
CITY OF LAKEVILLE
8747 208th St. W. P.O. Box M
Lakeville, MN 55044
469-4431
II
Job Site. Address: (p~~~ e:~°L
Legal Description: Lot~glock Addition
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Owner Phone ~~1~-~~'„j
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Address
Contractor Phone y~~~~- ~7.7~..~'
Address ~~G~~C~L
Class of Work : ~ Erect E )Alter ( )Repair ( )Enlarge ( )Move ( ) Demolish
L
Proposed Use (Describe in Detail)_ J
Heating Contractor ~
Plumbing Contractor ~E~~,~
Sewer & Water Contractor
Electrical Contractor F
- -
Special Conditions
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Valuation of Work : $ < ~
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i Signature of Applicant & Title: FOR CITY USE ONLY ,t. r
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Zone
,~K =CsC---.'~~2~ City Fee $
Date Plan Check S
Signature of Zoning Officer: Surcharge. $
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SAC $ , ~ c:~
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Date Hook-uPs ~
a ~
g g Area .Charge $
Si nature of Buildin Inspector: ~
Other $
Total $
~ Date