HomeMy WebLinkAboutNo 10975 City of Lakeville ri~~~, 19
Permit Fee ~ 7
0~'~ PLUMBING PERMIT state surcharge.....
RECEIPT
TOTAL FEE PAID . .
Permission is hereby granted to ~3'i~ Ou~~~ `~9k>Mt?t fc~z2t~ ~ t i+~ni.n`= r x~~ rV F?a;lotaaT ilt.?110?»
Building on Lot No. Block ~ Subdivision. L`c1~arlaj~'~ V-a12~''~ fi"~r~ti z~th A~;~it~t
Parcel No. ?=-:'1~~~-ail.^-gJ~
In the CITY OF LAKEVILLE to be used as }lpr~t--._*.o `f ~.3*~ ~ ] 1~~t..,.~ ~.c~n~, ~ z~4~--unit
This permit is issued on the express condition that the ERECTION ALTERATION REPAIRS
t- INSTALLATION MOVING DEMOLITION respects to the statements certified to 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.
Streeta4ddress4i~'c4: 1"D`r-f ~d I°~~ ~ ~ear,*.a .t~.tik?;C?r~
Director, License and Inspection
r.~~.._..__..
BYT T ~ r : ' ~jr
Attention is particularly called to the cutting up of streets, making main sewer
connections, driveways and curbs. Obtain permit for such construction from the
CITY OF LAKEVILLE. Inspection Department Not Responsible ForAny Damages
to Public Utilities. Call for inspections: 469-4431.
CITY OF LAKEVILLE
APPLICATION FOR PLUMBING PERMIT
~ Permit Fee...... $ 9.50
WATER CONDITIONING UNIT State Surcharge .SO
TOTAL DUE...... $10.00
Service Address
Owner Name
Contractor Name
Contractor Address
City Zip r~~
Telephon
Date f /is~
CITY OF LAKEViLLE
(612) 469-4431
8747 - 208TH ST. W. - BOX M
IAKEVILLE, MN 55044