HomeMy WebLinkAboutNo 11296 K..i ~:~.s _ ''i : `i::~- :y +i~ { lA SS 1_ Lre ~-.y,. ~ ~..'1~.''~~y~,.~YHI+~w ,t`-~ .
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City of Lakeville Mann 4 ~ ~
N~ 1 ~ ~9S INSPECTION DEPAR?MENT 39.so
SEWER AND'WATER PERMIT ` P~""~
AND RECEIPT 5tote sy?cbo?gte .so
TOTAL iFEE PAiD . 40.00
P.rmis:ion is h.rrby yrentsd to Fredges LandscapingfRatz aff Constr.
Buitdiny on Lot No. 10 Block 2 Subdivision Dodd Pointe 3rd Addition
Pared 22-20862-100-02 Piat
inthe CITY OF LAKEVILLE to be'used as permit to :connect to city. sewer & water system
This permit is issued on the express condition that fhe ERECTION --ALTERATION -,-..REPAIRS
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INSTALLMENT ,..-MOVING... ^DEMOLITION'respects to the statements certified to in the application for
such permit, and that all work shall be done in accardancewith the Ordinance of LAKEVt!!E, Minnesota and the Stste
of Minnesota pertaining to the construction of buildings.
Street A~ress 16013 Excel -Way -Glenn A. Langord
Attention ie panc~ulerly calved to the cutting upgf sVeets, making main sewer connections, driveways and DireetOr, Litranirt and Inspeglon
curbe. ObEain permit for suchconsttuction:from the CITY OF.LAKEVILLE.Inspectwn Department Not
Responsible For Arty: Damages to Pubik: Us6ties.
The permtt holder understands and agrees that granting this Rermrt s nor a warranty or representation bg / 1 j/ a
the city Mat the Wolect wtn be sate or satisfactory B y l 1 ~V f - 1.
?M pamlit holder understands. acrd agrees: that the City Shan have the right to make periodic inspection
durirp cortslructidn. n the permit holder does not make arrangement fa the inspection the City may rum
. - off ttte water until such lnspectiaihas been.made.
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DATE
CITY OF LAKEVILLE
APPLICATION FOR SEWER AND WATER PERMIT
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Site Address : 1 4? ~ s~ ~ ~ ll~ - ~-l
Legal: Lot Block Addition
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Owner o r Builder : ~ a ~ ` ~ ~ ~ Phone
Address: City: Zip:
Excavating .Contractor: ~ ~ ~ ~ Phone
Address ~ ~~~'--~~-s': City : ~ U~.JD~-~ 1. ~j~~ ZiP ~ J
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Private Sewer System ($39.50 + .50). $
Private Sewer Repair ($19.50 + .50). $
City Sewer & Water Connection .($39.50.+ .50). $
Inside Plumbing Conversion ($19.50 + .50). $
Sewer Connection Only ($19.50 + .50).
Water Connection Only ($I9.50 + ,50).
Meter (3/4 in) - ($60.00). $
Pressure Reducing Valve ($42.75)..
Metro SAC .Charge . . $
Sewer & Water Connection Units.
Total Charges
Is Street Excavation necessary? Yes
No
MAKE CHECKS PAYABLE AND SEND PAYMENT TO : CITY OF LAKEVILLE
i Inspection. Department
P.0..Box 957
Lakeville, Minnesota 55044
Glenn A. (Barney) Langord Call 469-4431 to schedule inspections.
Plumbing & Heating Inspector