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No 11410
r ' City of Lakeville ~ ovemt~er ,,9 3~3.Stl _ Permit Fee . . PLUMBING PERMIT State Surcharge • P~zn - ~~.c~' RECEIPT ~a.~~ TOTAL FEE PAID Permissionisherebygrantedto bl-~er~ C~nStxuct~.an Building onl_otNo. ZQ Block ~ Subdivision Dods F© n ~ 2nd Addi nn Parcel No. 2 ~-~t"1861--10~-~1 IntheClTY OF LAKEVILLEtobeusedas peL'mi.Ty to install vlumbin~ in nsw colzst:rueti.On 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 buildings. Street Address Excelsior Drive '=1.~nn A. Lan~;ar~ Director, License and Irispection * 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.InspectionOepartmentNOtResponsibleforAnyDamages to Public Utilities. Call for inspections: 469-4431. l e s~ II Date ~ ~ j - ~w, CITY OF LAKEVILLE APPLICATION FOR PLUMBING PERMIT i ! ~ f~' S Site Address. ((0~.3~ ~°'K~.,.. t. ~ ~ ~ Legal : Lot~~Block~_Addition ~ ~.G v:l cal I Owner or Builder ~ ~ l-° r- ~;;1~ ~ Phone Address: City: Zip: Plumbing .Contractor : ~ ! ~ ~ ~ h:;/S ; . Phone : - ~ b~ r .~1 Address: (;c~~;L~ ~:y;.~ ,-~~r-~c City: .tv~'f'~'.f ~"~LL~'j~ Zip: ;~LL~J~~'.dj PLUMBING PROPOSED I?~STALLATION FIXTURES • Number of Stories ~Include•Ro Lgh-Tnc Bosc 1st 2nd 3rd 4th ~ PLUMBING FEE RATES: B wa:er Closec ~ ~ Residental Lavacory ~ New Construction:$40.00 Bach Tub ($39.50+.50 surcharge) tGtchen Sink Minimum: $20.00 ~ ($19.50+.50 surcharge) WashTra s i Drinking Fountain Commercial: Shower lx of contract cost, FtoorDrains up to $10,000 and over $10,000 + .50 Sump Pump _ surcharge. Minimum of $25.00 ($24.50 + .50 Catch Basin surcharge) Rain Leader j Commercial contract Water Softener 1 COSt : & I Urinal Cas Ran t Slop Sink Permit fee: ~ i'` Carba a Dis sal ~ ~ Surcharge : ~ 5 ja Dishwasher I Water Heater L.s=EtcCL` Meter Air Cond. Unic Reducing valve Sar Sink TOTAL : o AefriR. Drain MAKE CHECKS PAYABLE AND SEND PAYMENT T0: CITY OF LAKEVILLE Inspection Department P.O. Box 957 Lakeville, Minnesota 55044 Glenn A. Langord (Barney) Langord Calle 469-4431 to schedule inspections. Plumbing & Heating Inspector