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HomeMy WebLinkAboutNo 11151 -art th Y. 4 ~f .October 29, 86 Gity of Lakeville N©1 ~ 1 ~ ~ INSPECTION DEPARTMENT Permit Fee 39.5 0 SEWER AND WATER PERMtT su AND RECEIPT state Surcharge > . TOTAL FEE PAID . 40.00 Friedges Zandj~capingfi2atz aff Constr. Permission. is herby granted to Building on Lot Wo. 8 81ock Subdivision Dodd :Pointe 3rd' Addition Palreel 22-20862-0$0-02 Plat inthe CITY OF LAKEVILLE to be used as Permit to connect to city sewer & water system .This perms/ is issued on-.the express condition that the -IrRECTION ~ALTERATIQN REPAIRS X . INSTALLMENTMOVING - _t?EMOLITION respects to the statements certified-to in the applieafian for wch permit, and that all work shall be lane in accordance with the Ordinance of LAKEVIt.LE, Minnesota and the State o~ Minnesota .pertaining to the construction of buildings. Stmt Address 1 6031 Excel Wav Glenn A. Langord AflenUon b pertlctAery eaued to the cutting up of atreetS:making main sewer connechons, driveways-and Director, License and IntpettlOn axba. optain permit for such construction from She CITY OF LAKEVILLE Inspectwn Department Not RespatsiWe For Any Damages to Public Utikties. The permit bolder undetatandS end agrees tfiat granting. this permd a not a warranty or representation by the CNy that the project wyl be safe or sat factory. $Y ~ _ ~ , The pemYt holder urtderatenda and egreeS that the City shall have the right to make Deriodic inspectbn dyring.CpnS$UCtion. Hthe pertriit hoWel does trot make arangement for the inspection the City may tom oft the wetsriMtlt sttchFnspectbn has beenrnade. R ~ r \ DATE C~ ~ i? CITY OF LAKEVILLE APPLICATION FOR SEWER AND WATER PERMIT Site Address:_ ~ (D (7~9 ~ Legal: Lot Block Addition Owner o r Builder : (~~,.~pL~ ~ Phone Address : ~ ~O ~ 1 1~C~ ~ City ~ ~O ~Q ~~Ai..ZiP : Excavating Contractor: a• Address : y: Zip: ~ . ~ Lam` cit Private Sewer System {$39.50 + .50). $ .Private Sewer Repair ($19.50 + .50). $ City Sewer & Water Connection ($39.50 + .50). $ ~ Q,(~ C_J Inside Plumbing Conversion ($19.50 + .50). $ Sewer Connection Only ($I9.50 + .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 . ~ Is Street Excavation necessary? Yes No MAKE CHECKS PAYABLE AND SEND. PAYMENT T0: CITY OF LAKEVILLE Inspection Department P.O. Box 957 Lakeville,.Minnesota 55044 Glenn A. (Barney) Langord Call 469-4431 to schedule inspections. Plumbing & Heating Inspector