HomeMy WebLinkAboutNo 11040 P.+ ,Jl.'~'~'
i
City of Lakeville segt~mber ~2.
`No ~ ~ Q4~ INSPECTION QE'PARTMENT
SEWER AND WATER PERMIT PermitFa.......... ,~s.so
state st~rchw4e sa
14ND RECEIPT
TOTAL FE# PAiD : 40.00
Pbrtnission is herby granted to Fi "}'ti°`' 4tagf n a r t tinn /F1 denn Tnr•
Euildiny on Lot No. ~ 131ock ~.L_ Subdiviron Aodd Point',
Psreel X27-20860-060-0 l Plat
in the G1TY OF LAICEVILLE to be used as ~ wrmi t to cnnnatrt to city ~a~tQr ~ncl aa~slaRr B3LYt~'~
This permit is issued on-the express condition that he -ERECTIONALTERATION `-.,.REPAIRS
R~ INSTALLMENT ,-.-,MOVING „_DEMOLITION'respects to the statements certified to in the,appiication for
such permit, and that ail work shall be done in accordance with the Ordinance ofi LAKEVfL1E, Minnesota and the State
~ of Minnesota perfaininy to the construction of buildings.
G ,
i Street Address l Ft l tl'~ F.xc^~1 si nr T)riyQ f:1 m~nn A ~~T.aggar~..,
Attention b garticuterN.cafled tothe Cutting up of sheets. making: main sewer connections. drveways and DireetOr, LiLinff and Inspsctla?
curbs. Obtain permit for such twnstruciion hom the CITY OF LAKEVILLE. InspecUOn Department Not
fiesponaibleFwAnyDemagesto:PubUCUtilitias.
The permR hofdsr understands and agrees that granting this permit is rota warranty or representation by
the Gty flat the prOjaCf +MN be safe or satisfactory -
~I The permit h0fdsr understands and agreeatha[ the City shall have the nght tomake periodic inspectan By
dwktg corahudbn. H the permitnoWerdoes not make arrangement for theinspection the Clay may tum
ott the water until such klspei:tion has tbeen meas.
4
t
f a _ .
~ .
~
i
~ ~ ~
~ ~ ~
~3
~ ,
i
CITY'OF LAKEVILLE
,SEWER AND WATER PERMIT APPLICATION
Date ~ /O
Job Site Address ~d ~ ~vLlwcr-~ .
Legal: Lot Block Addition
Owaer or Builder _.a,~ , .
Excavating Contractor ~ ~.-o-~.~.~ ~ Tel. ~3~ r
Address l y(a yC~ City ip SS~~f
Private Sewer System ($39.50 + .50) $
Private Sewer Repair ($19.50 + .50) $
City Sewer & Water Connections*(39.50 + .50). $ o0
Iaside Plumbing-Conversion (19.50 + .50)• $
Sewer Connection Only ($19.50 + .50). $
Water Connection Only ($19._50 + .50). - $
Meter--($60.00) &-Pressure Reducing Valye. $
* Metro SAC Charge S/W Connection-Units $
TOTAL CHARGES $
Is Street Excavation necessary? Yes
No
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