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No 9966
City of Lakeville ~ INSPECTION DEPARTMENT _ ..Permit Fee > r SEWER AND W,t~TER PERMIT ' ~ so ; , State Surcharge . " TOTAL FEE PAID . ~ ~ ; , Permission is hereby granted to Building on Lot No. ~ 8iock Subdivision "T`~~' ~?~.:C ~:'j 1? Parcel "a: ' 7 i i Pfat in the VILLAGE OF LAKEVILLE to be used as ''F"''"i`~ ;"`f' t r r; +_~r ~;C ~>r r ; r~-t ~°''r 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 s;`~,rr,Y,,, <_~~u ' . f,: Attention is particulary called tothe 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. 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. , ~ ~ J. ~ $y The permit holder understands and agrees that the City sftall have the right to make periodic inspection during construction. If the permit holder does not make arrangement tw the inspection the Ciry may turn off the water until such inspection has been made. c; i ~.T•F? ~ ~ ~ ~ ~ o~ ~ '3 APPLICATI N FOR PLUMBING PERMIT AND/OR SEWER AND WATER PERMIT Job Site Address 16377 FARCRY ~dAY Install Repair Lot Block 6 Addition Replace Alter Total /i of Fixtures Est, Cost (Commercial] Plmbg, Permit Fee-,,,`1~.~ Surcharge .50 r I, PLUMBING FRt~P45ED It~iS7ALtATt©N "Total Plmbg, Fee ~ ~ FIXTURES • Number of Stories Include •Ro rQtt-Tnc Bose ist _ 2nd 3rd 4th t Water Closet _ ~ - Lavatory / ~ r~' Plumbing Fee Rates- Bath Tub - r ~ ~ f , ~ Residential ~ Minimum: $15.50 Kitchen Sank .M ~ ~ , . SO Surcharge fqr _I ~ first four fixtures. Wash Trays J Eaeh additional is Drinking Fountain $2 • $0 ,Shower _ Commercial: Floor Drains i TX up to $10,.000; _ ~X above $10,000; 5umpPUm;~..._._ _ +,SO surcharge, Catch Basin Minimum $25.00 Rain Leader Water Softener Urinal Cas Range SIoP Sink Carba a Dis sa! ~ i Do not Count Dishwasher ~ i` _ separately, if _ r He~tcr - they are connected L EIECa_•. t0 kitchen sink. Air Cand. Unit ~I Bar Sink Refn Drain - S W Rates- . ~ _ II, Sewer ~ Water 24.5 PermitF Sewer Only 14.50 .50 Water Only 14,50 StateSurchar Total S/W JOE MILLER CONSTRUCTION Owners Narne - ' 1$133 CEDAR, AVE SOUTH _ FARI~RTGTON,,.-1~NI~._.__ , Address _ _ Contractor's Name _.~CaUSRF..~~3;~jjiCAj,_.SERSI.TCES•~--IA1Ce - - Address _.200 HOLM' AVE._,~AKEVILLE M~tN. K;j04~ C~TY OF LAKEVILLE Plumbing Inspect. Dept. Send application and check for permit. to : Box M Lakeville, MN 55044