HomeMy WebLinkAboutNo 11019 r ~:`~-^-.'~srr;c ,s _'~,a~+~:" '~s'.:,~~t}:~s*i'c*.;~y
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City-of Lakevitle August ~9, ~ ~ 8~
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N~` f ~ ~ ~ ~ INSPECTION DEPARTMENT
SEINER AND WATER PERMIT :Permit F«......... 34.50
AN D' RECEI PT tats swKti~e , sa
TOTAL FEE PAID . 40.-00
Ptarmission is h~nby ftrenhd to BruckmUellEr Plumbing/Wesley Constr
8uildiny on i.ot No. 19 Block 1 ' Subdivision nodd Pointe
Parcel x#:22-201360-19~J-Ol Piet
n the C1TY OF LAKEVILLE to be`used as hermit to connect- to city water and sewer system
This permit is issued ort-the express condition that the -ERECTION ~ALTI3RATION ,REPAIRS
g INSTALLMENT +MOVING ^bEMOlaTION respetas to the statements certified fo in the spplieatien fpr
II sash permit, and that ail work shall be done in accardant:e with the Qrdinance of LAKEVILLE, Minnesota a»d She Stafe
~ of Minneso#a pertainirro to the construction of buildings...
Street Address _ 16227 Excelsior Circle Glenn A. Langgr~
i Attention b particulary calbd to the cutting upof streets, making mairr sewer connectiora<, driveways and DirRtiOr, LFsMSt snd :IasyetN011
twri~: Obtain permitfor suchconatructfonfrom theCITV pF LAt(EVIII.E Inspection Department Not
Reeponeible'FOr Airy [)erttages to Public UUR6es.
The panM(hokfx understands and agrees that granting this perrmt is not a warranty or representation by "t
.:the Cily tllet the pr0)8ct Will bB safe or SatiefaCtory. By ,.,e 1 f', ~ ~
The pertNt holder understands and agrees that the City shad have the right td rneke periodic inspection
durktg corNfruction. ff the permit fioWer does not make arrangemenifor the inspechan theCity may tam
on the watx txlt~such tnapectiort has been mark.
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CITY OF LAKEVILLE
,SEWER AND WATER PERMIT APPLICATION
Date ~-t~,f~
Job Site Address f !r ~ ~ ,~[ii~~_
Legal : Lot ~ Block Addition L~%~G~
Owner or Builder r ~ -
Excavating Contractor Tel. ~S~ ~
Address City ~ Zip
Private Sewer System ($39.50 + .50) $
Private Sewer Repair ($19.50 + .50) $
City Sewer &-Water Connections* (39.50 + .50) . $ o~
Inside Plumbing-Conversion (19.50 + .50)• $
Sewer Connection Only ($19.50 + .50). $
Water Connection Only ($19..50 + .50). - $
Meter--($60.00) &-Pressure Reducing Valve. • $
* Metro SAC Charge S/W Connection Units $
TOTAL CHARGES $ ~'~'0
Is Street Excavation necessary? Yes
No
Signed ~~1.~~ G*~~'~1i~~2 2
Make checks payable to: City of Lakeville
Send payment to: City of Lakeville Glenn A. .(Barney) Langord
Inspection Dept. Plumbing & Heatiag Inspect.
Box 957 -
Lakeville, MN 55044 Tel: (612) 469-4431
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