HomeMy WebLinkAboutNo 10577 ~.;ro.~.;q..~ ••y~•.~~~.~,~'-~,-~a .~~e;`~1~1.'='~S'ti '~{~"~:aS'~1"p"~h'+;f~~fit"~i..,,3es. ~i.. ~O ,~N y. r; r. ~
-
s~
City of Lakeville July i9, ~ X85
N~ ~ 077 INSPECTION DEPARTMENT
f Permit Fee.......:. , 29..50
SEWER AND WATER PERMiI'
AND RECEIPT states~eh~~.....
TOTAL FEE PAID . 30.OD
Permission is benby gront.d to Wenzel Mechanical/La:Croix Builders
Building on Lot No. 3 Block Subdivision Dodd Pointe
Pareet ~~22-2n860-030-01 Plat
in the CITY OF LAKEVILLE to bevsed as Qermit to connect to city water and sewer s~,srPm
This jae?mit is issued on the express condition that the ~ERfCTION -ALTERATION _.._.REPAiRS
X INSTALLMENT -.MOVING. ~.DEMOLiTdON respects. to the statements certified to in the application for
such paVmit, and that ali work shall' be done in accordance with the Ordinance of LAKEVILLE, Minnesota and the State
of Minnesota pertaining to the construction of buildings.
Street Address 16DS5 Excelsior Drive Glenn A. Lanjyord
Attentionis psrdatkry: calved to the cutting up of atreeta.'m~cing maM sewer connections. drrvewaysand Dtreetor, Licfans! laM Intapsction
curbs. Obtakt permiE for suchconalruction:tromtheC1TY OF.LAKEVILLE~ Inspectan.Depanment.NOt
Reaponsibte For Arty Damageato Pubsc UdNties.
The permM holder tmderstands end agreeathat granting tf!is permrt is not a warranty or representation by k
the CNy Utat tM project will be safe or satisfactory. By
The penMt holder understands and ~reesihat the City haN have the right to-make penodic inspection
during consVuction. a the permit ttoltler does not makearrangement for the ulapeGion theGity may tam
oN the wad unttl such tnapeCtbn ties t>e~ made.
, ~ >
K
~r
5~~~` `
s E<
I ~ ~
~ rt
i r U
s% ' ~
~
I
CITY OF LAREVILLE
SEWER AND WATER PERMIT APPLICATION
Date 7~/~~~s
Job Site Address _ ~~j» ~XF L- L.S/ ai°
Legal: Lot ~ Block ~ Addition ~cx.~c/ `7"D~n~'7~"
Owner or Builder ~-~~'~~/~~[~r~,S
Excavating Contractor ~'n~~ y`~~,
x~~~~~~ ~,}E~ Tel.
Address 3&~ti? K~~t4V£8~C ~~x~,t~, ~Au+d~N, r~t~~~. 55~`:
~r~.Sr,;~r~City Zip
Private Sewer System ($29.50 + .50) $
Private Sewer Repair ($14.50 + .50) $
City Sewer & Water Connections*(29.50 + .50). $ ~O.O~
Inside Plumbing Conversion (15.50 + .50)• $
Sewer Connection Only ($14.50 + .50). $
Water Connection Only ($14.50 + .50). - • $
Meter ($b0.00) & Pressure Reducing Val~re. $
* Metro SAC Charge S/W Connection Units $
TOTAL CHARGES $ a~•~
~ ~
Is Street Excavation necessary. Yes
No
"1
l~
Signed'
Make checks payable to: City of Lakeville
Send payment to: City of Lakeville Glenn A. (Barney) Langord
Inspection Dept. Plumbing 6 Heating Inspect.
Box 9S7
Lakeville, MN 55044 Tel: (612) 469-4431
I