HomeMy WebLinkAboutNo 11384 R,
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City of Lakeville April. ~s~
No:1 134
tNSPE TtON DEPARTMENT
Permit Fee . 39.50
~ ~ SEV1%E1~~ ~11'AT~f~~=HERMIT
AND RECEIPT state surcharge so
TOT4L FEE PAID 40.00
Friedges Landscaping/Ratzlaff Constr
Ps+?mission is hersby>prcnted to
Buiidinq`on Lot No. 9 Stock Subdivision Dodd Poin>re 3rd. Addnh.'
Parcel 22-20862-090-02 Ptat
in the CITY OF LAKEVILLE to be used as permit' to' connect to city sewer & water system
This permit is isstteti on the express condition that the -ERECTION ;ALTERATION -REPAIRS
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INSTALLMENT .-MOVING DEMOLITION respects to the statements certified to in the application for
suth permit, and that all work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota and the State
df Minnesota perfaininy to the construction of buildings.
Streat'Addresr 16023 Excel day Glenn A. Langord
Attetthonb partleularly CaNad ro the cutting up of sheets. meleing main sewer connections, driveways end Dirlt:tOr, lit~nst and InUp1tt1011
CIl't78: Obtain,permit tq.9UCh construction from the CITY OF LAKEVILLE. Inspection (kpartment Not
Response Fro My Danripes to Public U nGtres.
The permgbolder under8lands and agrees that granting this permit is not a warrardy or representation by i-
th0 CNy tlwtthe project wIM be safe or satisfactory. B
Y
The pemNt holder Orate[stands and agrees that the City shall have the right t0 make periodic inspection
during Wrrotruction.. H-tlle permit holder does trot make arrangement la the inspection the City may tun
offthe watertnbl such inspection has been made.
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CITY OF LAKEVTLLE
~ APPLICATION FOR SEWER AND WATER PERMIT
Site Address ~ Lp pa,~ Lao Q ~ Q ~ ` «n
Legal: Lot Block Addition
Owner o r B uilder : 2 ~ Phone
Address: ~ City: Zip:
Excavating Contractor : ~,S`~;,~"~
Q~~ ~L~ Phone : ~.(~(cq--c3 ~q
Address:~~~ 2~'~ ~ City: ~ ZiPt S~jQ~((d
Private Sewer System ($39.50 + .50). $
Private Sewer Repair (.$19.50 + .50). $
City Sewer & Water Connection ($39.50 + .50). $ L.~Q, Q~
Inside Plumbing Conversion ($19.50 + .50). $
Sewer Connection Only ($19.50 + .50).
Water Connection Only ($19.50 + .50).
. .
Meter (3/4 in) - ($60..00). $
Pressure Reducing Valve ($42.75).
Metro SAC Charge . . . $
Sewer & Water Connection Units.
Total Charges (>,~C~
Is Street Excavation necessary? Yes
No
' MAKE C NECKS PAYABLE AND SEND PAYMENT T0: CITY OF LAKEVILLE
Inspection Department
P.0. Box 957
Lakeville, Minnesota 55044
Glenn A. (.Barney) Langord Call 469-4431 to schedule inspections.
Plumbing & Heating Inspector