HomeMy WebLinkAboutNo 10872 _ ~
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City of Lakeville June ls, ;,~s~ j
11To ' 10872
INSPECTION DEPARTMENT
SEVI/ER AND WATE1~ PERMIT Permit i~ee.......... 39.50
AND R~CEI PT state s~r~l~orge .So
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TOTAL FEE. PAID 40.00
Permission is hensby granted to Wenzel P1Umbing/ •a : eix R~ti l dPrsa
$uildiny on Lot No. ; 1 81ock Subdivision T)ndd Pninta
Pslreef X22-20860-010-02 Plat
in the CITY OF LAKEVILLE to lie used as Permit to Connect tacs cites water and seWPr a~A*am
This permit is issued on_the express condition that the ..-ERECTION ~AiTERATtON ,._.rREPAtRS
,X INSTALLMENT ~MdVtNG ____.DEMOLITiOht respects to the statements certified to' in the; applicatiosi for.
such permit, and that all work shall be done: in accordance with the Ordinance of LAKEVILLE, .Minnesota and he State
a! Minnesota pertaining to fhe construction of buildings.
Straet Address 160b4 Excelsior Drina r7a~„ e` Tnror.Y~
_ pptantkin ~ pgri(CUIBAy cBNBd to qte cutting up of streets, making main sewer connections drweways end Dirl4tOr, LiC~RSY snd In~petti011
'GXbe. Obtdn:pemat for each. Cg167UCt10nffam theCITY OF LAKEVILLE. Inspectbn Department Not
ReaponsiWs Fa Arq+ Damages to PubNc tltiMNas.
The permit holder underetends endagrees that grantlng this permit is not a warraNy or representation by ~ t
the GIy fffet the protet:t wa be safe or satlafadorv By I~'`
The permN holder uhderetenda and agrees that the City shall have the right to make periodic inspection
dta'inp cart~ruotion. H`Me permit holder doe9 not make arrangement for the inspection the City may cum
off thewater WtL78uch hapection`hes been made.
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CITY OF LAREVILLE '
,SEWER AND WATER PERMIT APPLICATION
Date ~ ~ c~'~~
Job Site Address CJC~.~G,:~~n/''
Legal: Lot Block Addition
Owner or Builder ~ /
Excavating Contractor v'- Tel.
Address 3~wu 1c~.~tv~3~G ;A~:~A~~~°~i~ti. 5;92 Zip
Private Sewer System ($39.50 •50) $
Private Sewer Repair ($19.50 + .50) $
City Sewer & Water Connections~(39.50 + .50). $ ~.c~~
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 $ `7-~'. C,`'
Is Street Excavation necessary? Yes
No
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Signed ` -
Make checks payable to: City of Lakeville
Send payment to: City of Lakeville Glenn A. -(Barney) Langord
Inspection Dept. Plumbing & Heating Inspect. .
Box 957
Lakeville, MN 55044 Tel: (612) 469-4431