HomeMy WebLinkAboutNo 9129 Villege of Lakeville 3Y-r~' 22~ ~ g'
INSPECTION DEPARTMENT PI"mbi"9 Pertnit""
15
Permit Fee '
PLUMBING PERMIT
State Surehorge . .50
P.eceiPt :~.b.
TOTAL FEE PAID
Permissior+ is heroby granted to ~iC~7onaldt S Plumbinh 4~x':f1.t',P ~ I~eray ~%raki _
Buiidir?~ on Lot No. ~ Block Subdivision G e"ire L~dditi%,~r
Pareol ,•`Z~'-'+~?2~?~J-()~~-~j Pfat
in the VILLAGE OF LAKE~iILLE to ae used as try ~mn•'-~ 1 ,,.,i~l tim~~i
This permit is issued on the express condition 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 LAKEVIL•LE, Minnesota and the State
of Minnesofa pertaining to the construction of buildings.
Street Address 7C~1"~h Il~sdr~ Blvd. rlenr: l~. Laniard .
Director, License and Inspeetion-
~ ,
Attention is particularly called to the cutting up of streets, making. main r
.sewer connections, driveways and. curbs. Obtain permit for such-construe- By ~ - _ 4r,; 7. _
tion from the VILLAGE OF LAKEVILLE: Inspection Department Not Re-
sponsible For Any Damages to Public Utilities.
~ "v~
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Permit No.
CITY OF' LAKEVICLE
Building Inspection Deportment
APPLICATION FOR PLUMBING PERMIT
Install Repair
Site
Address Lot Block Addition Alter Replace _
Total No. Fixtures Est. Cost _ Plumbing Permit Fee _ ~-L~~
' Gas Piping Permit Fee _
PROPOSED. INSTALLATION
Number o~ Stories
FIXTURES .Base 1st 2nd 3rd 4th ~
Water Closet
Lavatory - _
Bath Tub
Kitchen Sink
Wash Trays
Drinking Fountain.
Shower
Floor brains
Sump Pump
Catch Basin
Rain Leader
Water Softener
Urinal
Gas Range
Slop Sink
Garbage Disposal
Dishwasher _
Water Heater
GAS or ELEC_)_
Air Cond. Unit
Bar Sink
Refrig. Drain
Sewer and Water Permit Fee
State Surcharge_
Total
Owner's Name
Address
Contractor's Name _
~
Address i~ v'~
Send application and check for permit to Lakeville Building Inspector,/Lakeville, Minn. 55044