HomeMy WebLinkAboutNo 11351 City of Lakeville April 2, _ _ ~ s~
~ ~ 3~ 1 INSRECTION DEPARTMENT
Permit Fee.......... 39.50
SEWER AND W/4TER PERNII f so
AN d REG E 1 P°~ state sturcharge .
TOTAL FEE PAID , 40.00
P.rmission is hsraby granted to Wenzel Mechanical/LaCroix Builders
Bufiding on Lot No. 4 Blnck 2 Subdivision Dodd Pointe
Parcel 22-20860-040-02 Plat
in the CITY OF LAKEVILLE to tie used as permit to connect to city sewer & water system
This permit is issued on the express condition that the .-ERECTION`ALTERATION ._....REPARS
___X INSTALLMENT ._MOYINt's ^bEMOLITION respects to the statements certified to in the application for
such permit, and that alt work. shalt be done:in accordance with the Ordinance of LAKEYILLE, Minnesota and the StaFe
of Minnesota :pertaining to the construction of buildings.
i 16108 Excelsior llrive Glenn A. Lanford
Street Address
Attention's particulerfy caliad to the cutting up of streets; making main sewer connections, driveways end Director, Lir:e~tl~ and Inaaeetlon
Darya. Obtain permit for such construction: from the :CITY t7F LAKEVILLE. Inspectwn0epartment Not
Radpenslyk For Arty Danages to PubBC Uplitiaa
- Th® psr hoWsr understands and agrees that gran&tg tt+is permd is not a warranty or representationby
the ~ fAeproject will be sate or saesfactorY By ^ r
TM pemtit holder understands and agrees ihffi the City shall heve.ihe right to make periodic inspection
durfrig conehactlon. M the permit holder dose not make arrangement for the inspection the Clty may tam
off Me lax ur~lsuch irtepeotbn has been made.'
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DATE
CITY OF LAKEVILLE
APPLICATION FOR SEWER AND WATER PERMIT
Site Address: `O~ ~ ~ ?
p ~~,Lar~1~
Legal:. Lot Block. Addition
Owner o r Builder : 4~~ ~ Phone ;
Address: ~ City: ~ / Zip:
Excavating Contractor:a„~, Zd~~1~~~~ Phone:
Address : ~~p U~ i{~!r'~/~~~~C'~ City: ~ ZipC ~5`~ ~
Private Sewer System ($39.50 + .50). $
Private Sewer Repair ($19.50 + .50).
City Sewer & Water Connection ($39..50 + .50). $ 0 d
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.......... ? G7~ ~
Is Street Excavation necessary? Yes
No_~_
MAKE C HECRS PAYABLE AND SEND PAYMENT TO: CITY OF LAKEVILLE
Inspection Department
P.0. Box 957
Lakeville,. Minnesota 55044
Glenn A. (Barney) Langord Call 469-4431 to schedule inspections.
Plumbing & Heating Inspector