HomeMy WebLinkAboutNo 9961 [s
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City of Lakeville .7u2y ~s_~?
INSPECTION DEPARTMENT
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SEWER AND WATER PERMIT Permit Fee..........
State Surthorge..... .50
& (ter-,. L~>t 3~'t.~'?
TOTAL FEE PAID .
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Permission is hereby granted to
Building on Lot No. ~ 81ock Subdivision ~~o?1x1aVS ~JS;'..:t.eY c'i~YZ'.. Rth AridCd
' Parcel fb2? .217_,"'_.;^~i?_7~ Plat
in the VILLAGE OF LAKEVILLE to be used. as PerTM:~.`: cc:~~in=zet I~o cl.ty sewer ,i~ti waxer system
This permit is issued on the express condition that the .rERECTION ~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 LAKEVILLE, Minnesota and the State
of Minnesota pertaining to the construetion of buildings.
Street Address 7~?_~4 F~wrna~dc~ .='r3Y ~]:~ftl~t T.~~t~~rcl
Attention ~ particulary called to the cutting up of streets, making main sewer connections, driveways and Director, License snd Inspettlon
curbs. Obtain permit for such construction from the CITY OF LAKEVILLE. Inspection Department Not
Responsible For Any Damages to Public Utilities
The permit holder understands and agrees that granting this permit is not a warranty or representation by " ~ f
the City that the project will be safe or satisfactory. /
The permit holder understands and agrees that the City shall have the right to make periodic inspection
during construction. H the pennd holder does not make arrangement for the inspection the City may tum -
off the water until such inspection has been made.
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CITY OF LAKEVILLE
~ APPLICATION FOR PLIJ?~INC PERMIT
AND/OR SEWER AND WATER PERMIT '
Job Site Address Install Repair
Lot ~ Block -~.0- Addition Replace Alter
Total ~ of Fixtures Est. Cost (Commercial) Plmbg. Permit-Fee
Surcharge .SO
I, PLUMBING PROPOSED tt~tSTALLATtON Total Plmbg. Fee
FIXTURES : Number of Stories
Include RouQh_ Tna Bose 1st 2nd 3rd 4th l
Water Closet
Plumbing Fee Rates-
Lavatory i _
- / Residential:
Bach Tub _ _ Minimum : $15 . SO +
Kitchen Sink ~ - .SO Surcharge for
first four fixtures.
wash Trays Each additional is
Drinkin Fountain $2 • SO
Shower ~ _ _ Commercial:
Floor Drains IX up to $10,000;
_ ~X above $10.000;
su-~pu~`--- - +.SO surcharge.
Catch Basin $25.00
- ~ Minimum
Rain Leader
Water Softener
Urinal .
Gas Ran e
Slop Sink
Cuba a Dis sat Do not count
_ ~
Dishwasher ~ _ _ separately, if
at r!-teacer ~ - they are connecter
Lc,~ ftEC~-, t0 kitchen sink.
Air Cond. Unit
Bar Sink _ _
Retn .Drain ~ r ~F
S W Rates- ~.r
I I. Sewer & Wa t e r 2 9 Permit F» S
Sewer Only 14.50 .SO
Water Only 14 . S 0 State Surcharge ~ ~ -
Total S/W S t
t t ~ ,
Owner's Name -~TQ.e-1~31L1~r~IJI1St.rLUCti..CI.TI-
Address ~~33 -Cedar Ave. So, __Far~ti,~~o~,__Mi.nn~.-55.0,2.t~
.
Contractor's Name -n4e-~-1~@- -~~~,3-Cell -~e.Y.~it?@:~ i • 3TiC
20715 Solt Ave
Address _ _
. CITY OF LAKEVILi.E ~
Plumbing Inspect. Dept.
Send oppGcotion and check for permit to : Box M
_ Lakeville..MN 55044