HomeMy WebLinkAboutNo 9962
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City of Lakevi le .Tiziv ' ° ~
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INSPECTION DEPARTMENT
SEWER AND WATER PERMIT Permit Fee..........
Stote Surcharge..... .SO
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TOTAL FEE PAID .
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Permission iit hereby granted to ~;-'lj~^ ~~3iS]~C_F< i ~ 7 ;~'t'll:_'C,
Building on Lot No, ra 81ock Subdivision ''~`;~'~~<Y'_' t''~7 ' ~~rl~ ~t~t Ac~t9ta
Plat
Parcel ,
in the VILLAGE OF LAKEVILLE to be used as'°'" 'L" ` "~''Tt~c,t ,n :^:it~ ~.asa~ :r -t;~~~ .~ate~' sv~te^t
This permit is issued on the express condition that the ....ERECTION -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 construction of buildings.
Street Address
Attention is particulary called to the cutting up of streets, making main sewer connections, driveways and Director, License and Inspection
curbs. Obtain permit for such construction from the CITY OF LAKEVILLE. Inspection Department Not
Responsible For Any Damages to Public Utilities.
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The permit holder understands and agrees that granting this permit is not a warranty or representation by j ~ y ft
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the City that the project will be safe or satisfactory. BY . .j ~ ~ 4~
The permit holder understands and agrees that the City shall have the right to make periodic inspection
during construction. If the permit 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 PLUMING PERMIT
AND/OR SEWER AND WATER PERMIT -
Job Site Address 16263 Fernando Way Install Repair
Lot 5 Block 21 Addition Replace Alter
Total ~ of Fixtures Est. Cost (Commercial) Plmbg. Pezmit-Fee
Surcharge .50
I• PLUMBING t'ROF'OSED tNSTALLATtON Total P1mbR. Fee
FIXTURES : Number of Stories
Include Rou>?h_7na Bose tsyt 2nd _ 3rd _4th _ ~
Water Closet / I -
Lavatory _ _1- ~ - Plumbing Fee Rates-
- Residential:
Bath Tub _ - _ _ Minimum: $15.50 +
Kitchen Sink - C .50 Surcharge for
I - first four fixtures.
wash Trays Each additional is
Dunkin Fountain - $2.50 -
~ Shower ~ _ Commercial:
Floor Drains 1X up to $10,000;
- - ~X above $10,000;
sump pump`- - +.50 surcharge.
Catch Basin - Minimum $25.00
Rain Leader
Water Softener
UrinaB .
Gas Ran e
Stop Sink
Carba a Dis sal Do not count
- ~
Dishwasher _ separately. if
a erHeacer / - they are connected
~c~ o. fIEG~_, ~ t0 kitchen sink.
~ Air Cond. Unit
Bar Sink----- -
,R_e,_C,n~,. Drain
S/W hates- -
II. Sewer & Water 29.50 PermitF» $
Sewer Only 14. 0 StateSurcfiarge .50
Water Only 14.50
Total S/W S
Owner's Narnt .TnP Mi u£:L~QI7;Z~~1.lSS~~O.~- ,,,®,f
Address
-~-E3:33• -C-e~:-ter--Ave-So -£-a-1^x~-i~~-tar, --1~~.~rr.-~--x§82,4-- ,
Contractor's Nam McGuire Mechanical Services, Inc. _Z r
e _ . _ _ _ - - - - - - ~
20715_Holt Ave
i Address
CITY OF LAKEVILtE ^~N~~~.
Plumbing Inspect. Dept. (~Jj)
Send opplicotion and Check for permit to : Box M ~ ~ ~"r-
. Lakeville. MN 55044 ~