HomeMy WebLinkAboutNo 11350
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City of Lakeville April 2, ~a~
No ~ 1 35® INSPECTION DEPARTMENT 39.50
SEINER AND WATER hE R IVI Il` Permit Fee
AND R EC E ~ ~ State Surchorge .SO
TOTAL fEE PAID . 40.00
P•mnission is herby gronf•d to Wenzel Mechanical/LaCroix Builders
Building on Lot: No. 3 Block 2 Subdivision Dodd Pointe
Parcel 22-20860-030-02 Plat
in he CITY OF LAKEVILLE to be'used as Permit to connect to city sewer & water system
ThX permif is issued on-.the express condition`that the ~EitECTION sALTERA710W __._REPAtRS
INSTALLMENT ._MOYING, .._I3EMO,LITIONrespects to the statements certified to in the application foe
such permit, and that all work shall be done in accordance with ttte Ordinance-ot LAKEVILLE, :Minnesota and the State
of Minnesota .pertaining to the tonatruction of bpildings.
Street Addross 16096 Excelsior Drive Glenn A-. Langord
-Attention is particularly celled to the cutting upcf streets: making main sewer connections. driveways and DirlCtor, Lltsnso and IntiOt?etion
curbs. Obtain permit for such.cgtsMtctiort:from the CITY OFLAKEYILLE.Inspectan-pepartmentNot
Responsible Fa Any D~nages td.Public UdNtles.
The permk holder understands end agrees ttret grantingthis permit is not a warranty or representation by ~
the Ctty that the pro}ect wig be safe or satisfactory
BY
The permit holder understands. and agrees that the Cityshall have the right to make panodtc inspection
during construction. H the panmt'Iwiderdoe6 notmeke arrangement for the inspection the Citymay ttxn
ott the water until such inspection has been made.
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CITY OF LAKEVILLE
APPLICATION FOR SEWER AND WATER PERMIT
Site Address: ~(~aC9 ~~i~~~QeLe+2~
Legal: Lot Block Addition
Owner o r B wilder : Q_- '~'~r'L Phone
Address: J~, y~. ~ .C~ ~1'~ City: I.~',~~_r~~~'ZJ' Zip: v
Excavating Contractor:-~l~~ ~C~~ZLC.~~ Phone: fa~~-/S"l~ ~
Address : ~~loL~'/.) ~~'I.~'/~.-~'-~~C'~ .(~'G~~~ City _ Zip ~ ~~v/~ ~L.
Private Sewer System ($39.50 + .50). . $
Private Sewer Repair ($19.50 + .50). $
City Sewer & Water Connection ($39.50 + .50). $ ~D~ lJ
Inside Plumbing Conversion ($19.50 + .50). $
Sewer Connection Only ($19.50 + .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 O~
Is Street Excavation necessary? Yes
No_~
MAKE C NECKS 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