HomeMy WebLinkAboutNo 11781 _ `i
City of Lakeville ~1~~~ ,,9 7
. Permit Fee 39.50
~,~$1 PLUMBING PERMIT
& RECEIPT State surcharge..... .Si)
TOTAL FEE PAID OU
Permission is hereby granted to M~tthew~ I}~3I1~..~"r.S
Building on Lot No. ~ Block ~ Subdivision ~ocld ~'U'`;F2~~.
Parcel No. ~'.~_?~3~f~?...L~~1-~(~~.
In theClTY OF LAKEVILLEtobeusedas - ri~,l-~~;' rk..:;~ ^~t~~:~:'t~w~::~c~~~x
This permit is issued on the express condition that the ERECTION ALTERATION REPAIRS.
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 bulidings.
Street Address t~~a - r1. `s.ar~kctx~
Director, License and Inspection
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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 For Any Damages
to Public Utilities. Call for inspections:469-4431.
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FLUMBING PERMIT APPLICATION
CITY OF LAKEVILLE INSPECTION DEPARTMENT
8747 208TH STREET WEST, P.O. BOX 957
LAKEVILLE, MN 55044
469--4~13I
DATE: _
JOB SITE ADDRESS:~~'~ - PID ~
LEGAL DESCRIPTION: LOT: BLOCK: SUBDIVISION OR SECTION:
APPLICANT: OWNER OR ONTRAGTOR~ (circle one}
OWNER OR BUILDER: ~ r
~ PHONE:
STREET ADDRESS: > ,~r~!G~-~te~~. CITY: C~~v~~Lc~~-I. IF: .~~~~1(~
PLUMBING CONTRACTOR:~,~~~ e` , Lly2 ~'7,f-/~y~, CITY ID N0. PHONE:
STREET ADDRESS: I~ , lj z.c~ CITY: ~`~~`Z~~~~~ ZIP:
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NEW CONSTRUCTI~'OR EXISTING (circle one)
FLUMBING SYSTEM (21}: _ SOFTENER (22): SPRINKLER (23}: STANDPIPE (24):_
LAWN SPRINKLER (25): INSIllE PLBG CONV (26): REPAIR OR REMODEL (27):
FOR: RESIDENTIAL: COMMERCIAL:_ INDUSTRIAL: PUBLIC:
JOB COST: (commercial only)
PLUMBING FIXTURES: (indicate the number installed including rough-ins)
oZ. WATER CLOSET (O1) FLOOR DRAIN (10)
LAVATORY (OZ} DRINKING FOUNTAIN (11)
DISHWASHER (03) SLOP SINK (12)
SHOWER ( 04 ) WATF,R SOF'ENER (13 }
_1_ BATHTUB (05) URINAL (14)
WASHER (06) DISPOSAL (15}
LAUNDRY TUB (07) RAIN LEADER (16)
KITCIiEN SINK (08) CATCH BASIN (17)
CLOTHES WASHER (09) OTHER (18}
OTHER (19)
APPLICANT'S SIGNATURE: DATE:
****##************#****#*~k**#*%k****~**~k*****%k%k*%k*#************************#*~*******
OFFICE USE
PLUMBING FEE RATES:
Residential: Commercial:
New Construction: $40.00 1~ of contract cost, up to $10,000
($39.50 + .50 surcharge) and 1/2% over $10,000 + surcharge
(contract valuation x .0005).
Repairs or Remodel: $20.00 Minimum of $25.00 ($24.50 + .50
($19.50 + .50 surcharge) surcharge}
~ Water Softener: $10.00 (9.50 + .50 surcharge) Call to have water softener
~ inspection when installer is at property!
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FL[_~hiBING PERMIT APPLICATION PAGE 2
OFFICE. USE
SYSTEM TYPE: OFFICE USE:
METER:
PLUMBING SYSTEM (21)
SOFTENER. (22) _ SIZE
SPRINKLER (23)
__i STANDPIPE (24) TYPE
LAWN SPRINKLER (25)
INSIDE PLBG CONV (26) SERIAL #
REPAIRS OR REMODEL (27) -
- REM READ #
WORK TYPE:
NEW (81) LINE SITE
ADDITION ($2)
REPAIR ($3)
DEMOLISH (84) LOCAL CODE:
REPLACE (85)
ALTER/REMODEL (86) SNGL FAM RESIDENCE (131}
MOVE (87)
TWO FAM RESIDENCE (132)
PERMIT FEE: TOWNHOUSE (133)
PERMIT FEE: $_,,~~p hNI,TI-FAM APTS (134)
SURCHARGE: $ COhIlNERCIAL (135)
METER $ INDUSTRIAL (t36)
REDUCING VALVE: $ TAX EXEMPT (137)
OTHER: $ MOBILE HOMF. (138)
TOTAL: $ ~'c f~'d UNDEFINED (999)
INSPECTIONS:
ROUGH-IN (64)
FINAL (65)
(70)
APPROVED BY: _ DATE:,, r"~