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HomeMy WebLinkAboutLA032161 PERMIT CITY OF LAKEVILLE PERMIT TYPE: FLUM~IN~ 20195 HOLYOKE AVE. Permit Number: il~~ ~l Lakeville, Minnesota 55044 (612) 985-4440 Date Issued: ~~~f ~:8l~ SITE ADDRESS: ~~~:~~'A~~ ILL, Lt7T: ET~O(:,~: t~RY:~TAt. H € LI. DESCRIPTION: RI,~1~ ~.TR' ~ RPM P Z }.~~~a ng; P~ z~~t ~ 't`v~~ ~R~ f~F ~ N~I~ER P1~am~ng, W~a-~C °Ty~a ,riB~ITIO REMARKS: FEE SUMMARY: P~ E~~ ~ . ~f'~ `v~t~.TER BETE ~:3~ O , 00 CONTRACTOR: - Ap~l. ic~:ztt - OWNER: I7C~I~ ~E31D FL~IMB I NG X3'7 ROTTT~F~P~~ CO I I~t~ 1T~2=~41pR~4^{ FT[ T[~s 43RD At~E N e}~~rr-~ r•Z '[r2Lf X~Y ~0.~Y4"6'..f~! L 4l. ieT •.f+J~"F~ LI LL~ $"CL. I hEFE~tY A~.F~EE ~'I~A T ~':~E ~1~hK F~~~ ~i~ I °~"H T~? I ~'~:E~ T k~ ~ ~-i~>~3ED yH ~ ~ ~1 FEE EE ~'f"1F,1~EI> A%:ir.~~T1I ~Xt:~ '~'C) ; ; } THE A F'F'TiE_~VE ~',A~`i,~ AAT~? F:'~ I I ,~T ? t~?~~; t ?'1~E _ _ AF~.r~.,TirARI,E Se:I'~' t~3nl?INc~rut_.~;;:, t:~_13"rE~; iii, T;-tE }.STATE EI~7rT?I~tr 1~;t~?:~E_ L ~ ISSUED BY: SIGNATURE PLUMBING PERMIT APPLICATION CITY OF LAKEVILLE BUILDING INSPECTION DEPARTMENT 20195 HOLYOKE AVENUE ~ LAKEVII.LE, MINNESOTA 55044 ~ ; (612) 985-4440 l~ DATE: b~Zd_9~ 70B SITE ADDRESS: G ~ys.~a ~ ////s i~ PID APPLICANT: OWNER OR ~I~CT~j (circle one) OWNER OR BUILDER: ~f-/~h r~ PHONE: STREET ADDRESS: CITY: ZIP: PLUMBING CONTRACTOR: Qon (geld ~~6 CONTR. PHONE: - ~ STREET ADDRESS: 0 8 o S so f ~ I - /V , ~ CITY: ZIP: /~h ~ s-s ~y~ ~ONSTRUCTIOI~ OR EXISTING (circle one) - PLUMBING SYSTEM(21) SOFTENER (22): SPRINKLER (23): STANDPIPE (24): LAWN SPRINKLER (25):~ INSIDE PLMBG CONVERSION (26): ADDN/REPAIR(27): WATER HEATER (28): ~,rT~`' 1 ' 1 FOR: RESIDET ~ INDUSTRIAL i JOB COST: ~'~~r commercial & spruikler s stems PLUMBING FIXTURES: ~ ct,~C~ • cures installed) ^ ~~i ~~I WATER CLOSET (O1) ~ ~ -SLOP SINK (12) LAVATORY (02) -WATER SOFTENER (13) DISHWASHER (03) ~f c~ URINAL (14) SHOWER (04) (~j ~ ~ "1 U a ~ DISPOSAL (15) BATHTUB (OS) Iv RAIN LEADER (16) LAUNDRY TUB (07) ^CATCH BASIN (17) KITCHEN SINK (08) r`(`aL~~ ~P~id,~ SUMP PUMP (18) CLOTHES WASHER (09) ~~u -OTHER (19) FLOOR DRAIN (10) ~ ~ ~ ROUGH-INS (22) DRINKING FOUNTAIN (1 ~ ~ WATER HEATER (23) Applicant's Signature: Date: ~ 02 9S PLUMBING FEE RATES: Residential: Commercial: New Construction $63.00 1-112% of contract cost up to $10,000 and (62.50 + .50 surcharge) 1% of cost above $10,000 plus surcharge. (Surcharge =Contract Cost X .0005} INCLUDES SPRINKER SYSTEMS Repairs or Remodel $30.00 (29.50 + .50 surcharge} Minimum of $30.00(29.50 + .50 surcharge) III Water Softener: $20.00 (19.50 + .50 surcharge) Revised 12/1/94 PLUMBING PERMIT APPLICATION PAGE 2 OFFICE USE SYSTEM TYPE: METER: NEW (81) SIZE ADDITION (82) TYPE REPAIR (83) SERIAL # DEMOLISH (84) REPLACE (85) INSPECTIONS ALTER/REMODEL (86) ROUGH-IN (64) MOVE (8?) FINAL (65) (70) PERMIT FEE: PERMIT FEE: $ ~ SURCHARGE: $ ' ~ METER: $ REDUCING VALVE: $ OTHER: $ TOTAL: $ ~ APPROVED BY: DATE: i