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HomeMy WebLinkAboutNo 11135 ~ L 76°' ,irk .ftsr ;.5 r~ Ain:: . . f City of Lakeville October z3, ~ 86 N~ j 1 ~ INSPECTION DEPARTMENT 39.so SEWER AIdD WATER PERMIT Permit fae...........~ AND RECEIPT state surtlwrge so 44.00 TOTAL ~fE PAID Jeche Excavating/Prestige Developers Permission is Newby proofed to, t3uildinQ on Lot No. ~ 1 8loctc 2 Subdivision Dodd Pointe Parcel 22-20$60-110-02 Rlat in the CITY OF LAKEVILLE to be used as permit to connect to ci ter sewer ~ ~rAr .L~T,;r$~ This permit is issued on the express. condition that the _ERE~LTION _..~ALTERATION ___,_REPAIRS `X INSTALLMENT sMOVING ..DEMOLITION respects to the statements certified to in the application for sttth permit, and that all work. shall be done in accardancewith the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota pertaining to the construction of buildings. 1.b144 Excelsior Court Glenn A. Langord Street Address Attentkmb partiCUlaAy Celled to the cutting.Lp of streets; making main sewer connections. dnveways and DirettOr, Liftoff and InsOtetipn - cubs, ObtaktperrtYt for aucAcarstructlon-from theGITVOFtAKEVILLE. Inspectian Departmehi Not Responsible For Atry Damapea to Pubic Uflites. - ThB permk holder tuMerafends and agrees that granting tt+is permit is not a warranty or representation by ~ f the CRY the the a will be safe or satisfactory. B y ? t , .The pBmtit hoksr understands 2nd agreesthat the City shall have the right to make periodic inspection dwinp corrsVuGtlon. N ltte permit Froklet dOr7s not make arrangement for the inspection the Crty may tum off tht wattr 1lntilsuch Inapectlon has tieerr roads: ~ V ~ ^ ~ ~Y > \ ~ rI ~ J: A._~. 3` ~ - p - ~~v DATE / C.~ ._~4~_, ~ /j CITY OF LAKEVILLE APPLICATION FOR SEWER AND WATER PERMIT Site Address: ' 1 ~ '1 ~ ~C ~~,.lC..~t t`~ ~ ~ f Legal: Lot Block Addition yes-_ Owner or Builder: ~~~~-e;~ ~ ~ Phone: ~ Address: j City: Zip: Excavating Contractor : ~ ~L~,. ~ ~ Phone : % ~~51~~ S ~ Address ~ ~ ~ ~ . ~ a ; S _ City :`IJ 1 ~'Yt ` Zip ~ ~~2 Private Sewer System ($39.50 + .50). $ Private Sewer Repair ($19.50 + .50). $ City Sewer & Water Connection {$39.50 + .SO). $ Inside Plumbing Conversion ($19.50 + .50). $ Sewer Connection Only ($19.50 + .50). vZ ~ +C~ Water Connection Only ($19.50 + .50). ~ ~ ~ ~ C~ Meter (3/4 in) - ($60.00). . $ Pressure Reducing ©alve ($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