HomeMy WebLinkAboutNo 12175 ~ I
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City of Lakeville
, ; . INSPECTION DEPARTMENT ~~o~~*~~
~ ~•~~.s -y1 BUILDING PERMIT Valuation
57~,C~n a?-vJtSr LTr~i* Building Permit Fee
& Receipt
~:3t3,~'C? c~F~~r StateSurcharge '25.09
TOTAL FEE PAID
Permission is hereby granted to Je~s€~}~~ ' „-t ~.~i c'r ?~"~r ~'t xtz~t- i~'n TZ~ ~ .
Building on Lot No. ~ Block ~ Subdivision- t' ~ 7 Q'-~• `aa~~,
Parcel ~t;~?~~? X77-•~1~-~i~ Plat
in the CITY OF LAKEVtLLE to be used as
e z_
This permit is issued on She express condition That the~~RECTION -.ALTERATION -JiEPAIRS
ENLARGEMENT -MOVING -DEMOLITION respects to the statements certified o 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 4he construction of buildings.
Street Address 7 F`~t 1 ~~-rrrv s. ~ ~r
Director,,License and lospection
Attention is particularly called to the cutting up of 'streets, making main sewer..
connections, driveways and curbs. ObtainpermitforsuchconstructionfromtheClTY -
-0F LAKEVILLE: Inspection Department Not Responsible For Any Damages to By ~ ~'P
Public Utilities. - ~ ~ ~ 1 i
. _
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' ~ APPLICATION FOR BUILDING PERMIT
CYT OF LAKEVILLE
8747 208th St. W. P.O. Box M
Lakeville, MN 55044
469-4431
Jab Site Address:
Legal Description: Lot ~ ..B1ock~Addition L
Owner Phone
Address-_
,,G j Ge `Phone _
Contractor
Class of Work: rect ( )Alter ( )Repair ( )Enlarge ( )Move ( ) Demolish
Proposed Use (Describe in Detail) '°~~-~C-~
Heaving Contractor L Gi~~
Plumbing Contractor ~-~a`i~~~~~~~~'~"''~`_
Sewer & Water Contractor
Electrical Contractor~(~~ >f"~.-- ~~-i
Special Conditions
Valuation of Work: S f J ~ ~i G~f~®
Signature of Applicant & Title: ~ FOR CITY USE ONLY
/ 1
Zone
P
City .Fee $
to ~ ~7 ~ ~ Plan Check s~_____~
II
-Signature of Zoning-..:Officer:. _ Surcharge $
I ~
SAC $ r r~
Hookups i 1~ ~
C S ~
Date
Area Charge $ o2C7 o ~
Signature of Building Inspector:
Other S
Total C.~'
Date