HomeMy WebLinkAboutNo 10355 ? i
.I
City of L~kevitle - oGt°ber >.as4:
~ -INSPECTION DEPARTMENT i~.so
SEWER AND 1lVATER PERMIT Pter~nit Fee.......... _ ~
AND RECEIPT state surclwrge ~'sti
TOTAL Fff PAID .
Petrmission is hsroby Srontad #a Sauter Fltmdbing & Heating / Geaa Reisinger
istuildi>flq on Lot No. ~~e.~16s~114 Slock ZO Subdivis~an Pt of S~ of SF.'~
:Parcel 22=01~i00-»O1Q--79 Piat
in the CITY OF LAt:EVtLLE to be used: as pe~catit to r~aAair private si>~er sgstem
This perrr?it is issued on the,expresa condition that the ,-ERECTION ^..ALTERATION ~ REPAIRS
INSTALLMENT _MOVtNG ~bEMOLITION respects to `the tatements certified to #n the application for
suefi permit, and that all work shall be done in accordancewith`the Ordinance of LAKEVII.LE, Mint>Pesota aind ltie State
of Minnesota perfaininq to the tonsruction of buFldings.
Street Address 18863 Cedar Ave . Glenn A. Langard
Attention ie particularly callad~ ttte cwtting up of streets, making main sewer eonnecHons, driveways and OireCiOF,- 61LN/i! apt/ Intpetttaln
orbs. Obfaln pertx+it for such consNuctibn from the CITY OF tAKEVILLE: Inspection Department Not
FlesponaYfle:FwAery:Demagesto;PuDlicUtiAties.
The permR holdef tmderstands end agrees tttatgranting this permrt is not awerrartty orrepresentationby
Iris city that the project ws be sate w satisfactory 13y ,
The parmtt holder underatartds and agrees that the City shall have the right to make periodic inspection
during construction. n the permit Iffier does not make arrangement fa tha inspection the City mey tum
oN the water until such Inspecfion tas been made.
•l. ~ T~.,f~!V"c1... .f~v~+ •,Ry~q~p mw~ - ~ iF,. v
~
~ - i ~ ~ ~
zr
•S M,.
f F
.
~
_
~ ~ - , ~ ,
~ ~ r
\ ~ ~-b:/
~ ~ _
_ _
~~.j'` - ~
~
_
- _ _ _ _
_
CITY OF LAREVILLE
.SEWER AND WATER PERMIT APPLICATION
Date ~ , _S1
Job Site Address
Legal: Lot Block Addition
Owner or Builder a .
Excavating Contractor ~ r ...Tel.
Address City. ~ Zip
Private Sewer System ($29.50 + .50) $
Private Sewer Repair ($14.50 + .50) $
City Sewer & Water Connections*(29.50 + .50). $
Inside Plumbing~Conversion (15.50 + .50)• $
Sewer Connection Only ($14.50 + .50). $
Water Connection Only ($14.50 + ,50). - $
Meter--($60.00) &--Pressure Reducing Valte. $
* Metro SAC Charge S/W Connection Units $
TOTAL. CHARGES $ ~ ~
Is Street Excavation necessary? Yes
No
Signed
Make checks payable to: City of Lakeville
Send payment to: City of Lakeville Glenn A. _jBarney) Langord
' Inspection Dept. Plumbing & Heating Inspect.
Box 957
Lakeville, MN 55044 Tel: (612) 4b9-4431