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Home My WebLink AboutLA028452 ITY E!/IL PERMIT TvPE: I~ X0195 HOLYOKE AVE. • P:0. BOX 957 Lakeville, Minnesota 55044-8012 Permit Number: PLUMBING Date Issued: (612) 469-4431 t3?/06tt94 SITE A®RESS: XXXXX CRYSTAL HILLS DR i LOT: BLOCK: CRYSTAL LAKE GOLF fi.STATfiS 2ND ADDITION PT t7F : tom- TIN ~ Z4 R 20 ®ESCRIPTIN: IRRIGATION SY,STfi~I Plumbing Permit Type LAWN SPRINKLERS Plumbing Work Type NEW Meter Size 1 1!2" ~Seter Serial Number 9205?634.. Rem*ate Reader Number NO R.V. AtPter Type WATER REMA?RICS: NfifiD 2 RPM RfiSULTS - 1 Ft~R PERMIT #2351.0 ~ 1 F~O R PERMIT #28452 FEE SIJMMA?RY Base Fee X29 , 50 WATfiR METfiR X315.00 Surcharge x,50 Total Fee X345,00 Subtotal $30.00 C®NTRACT®R: ®WNER: - Applicant - I'' DON WELD PLUMBING ?37 ROTTLUND CO INC 400 COTTONWOOD LANE N XXX PLYMOt3TH MN 55441. XXX MN 0612) 545-6150 I~ , - - - - - - I HEREBY AGREE THAT THE WORK FOR WHIGH THIS FFRI~IT IS ISSUED SHALL BE FER- FOR~IED A GGORD I NG TO : (17 THB APPROVED FLANS AID SFEG I F I GAT I OIdS , t THE ~I APFLIGABLE CITY ORDII~ANGES, AND GODES; AND,t3? THE.~N STATE BUILDING GODS, ~ C ~ ~ ~ ISSUED BY: SIGNATURE ` PLUMBING PERMIT APPLICATIQN CITY OF LAKEVILLE BUILDING INSPECTION DEPARTMENT 20195 HOLYOKE AVENUE, P. O. BOX 957 LAKEVILLE, MINNESOTA 55044 ' 7`/ 9L~ (612) 469-4431 DATE: JOB SITE ADDRESS : ~ ~X~ C'~~~~ u~' ` PID# l.~ ' L~~ LEGAL DESCRIPTION: LOT: BLOCK: SUBDIVISION APPLICANT: OWNER OR CONTRACTOR circle one I OWNER OR BUILDER : ~/v ~ PHONE . STREET ADDRESS: CITY; ZIP' f , , r' . PLUMBING CONTRACTOR: r- t,~->-u ~ l~ ~~~~.~ONTR. NO. ~ ~ PHONE: STREET ADDRESS . ~ f 'CITY NEW CONSTRUCTION OR EXISTING (circle one) PLUMBING SYSTEM (21): _ SOFTENER (22):- SPRINKLER (23): STANDPIPE (24): 4LAWN SPRINKLER (25):~_ INSIDE PLMBG CONV (26): ADDITION OR REPAIR 27): WATER. HEATER (28): MISC (30): FOR: RESIDENTIAL:- COMMERCIAL: INDUSTRIAL: JOB COST: (TO BE COMPLETED FOR COMMERCIAL & SPRINKLER SYSTEMS) PLUMBING FIXTURES: (Indicate the number of fixtures installed) WATER CLOSET (O1) SLOP SINK (12) LAVATORY (02) ~ WATER SOFTENER (13) DISHWASHER (03) I~"~ ~;..~"7C~~ ~ URINAL (14 ) SHOWER (04) " w DISPOSAL (15 ) ~r . ~ RAIN LEADER (16 ) BATHTUB (05) ~ ~ ~ ~ ~ CATCH BASIN (17 ) WASHER (06) Sip PUMP (18 ) LAUNDRY TUB (07) KITCHEN SINK (08 } OTHER (19 ) CLOTHES WASHER (09) ROUGH-INS (22) FLOOR DRAIN (10) WATER HEATER (23) DRINKING FOUNTAIN (11) .~~~1~,~1 Applicant's 8ignatu=e: J DATE: u ~ ~ PL ING FEE RATES: Residential: f ~ Connt ~ New Construction: $63.00 1-1j2~ 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 SPRINKLER SYSTEMS) Repairs or Remodel: $30.00 (29.50 + .50 surcharge) Minimum of $30.00 (29.50 + .50 surcharge) Water softener: $20.00 (19.50 + .50 surcharge) Revised 1/1/93 PLUMBING PERMIT APPLICATION PAGE 2 OFFICE USE SYSTEM TYPE: METER: ~ ~ N,EW (81) SIZE .r ADDITION (82) l,ti-1 TYPE REPAIR (8 3) ~ ~ ~ ~ ~ 7 tG ~ SERIAL DEMOLISH (84) REPLACE (8 5) INSPECTIONSs ALTER/REMODEL (86) ROiTGH-IN (64) MOV~,,('$7) ~INAL (65) , (70) PERMIT FEE: PERMIT FEE : ; 7:. ~Z~' SURCHARGE : $ METER: 7 C ~ L' ~ REDUCING VALVE: $ ~ C~ h~-- ~ OTHER: $ TOTAL : ~ ~ ~ APPROVED BY • ~ ~ "r _ • nr t'