HomeMy WebLinkAboutNo 10595 .'fir d'`~~'gi~?~+~r~.:,-~ ~s 4~-,j~ h .n~x,~+'~ ?l~r.`F
3~ <r -~1 M1.~r+~~6{+ "5"~9.,-'7+ ;~'''is''~~
k,.~~:.+.,
3~~s~,,
t
Ci#y of Lakeville au~us~ $ mss
N° 10:595 INSPECTION DEPARTMENT
SEWER AND WATER PERMIT Permit iFae.......... 2.9.54
AND RECEIPT Stote surdtarge so
TOTAIL FEE PatD . 30.00
Prannitision is hereby grontsd to Wcn'a'1 MEG~lanical /LaCroi x B~~ ~ dens
Building on Lot No. g Block -.L Subdivision Dodd Po~~te
parcel4~22-ZOS60-490-01 Plat:
in the -CITY OF IAKEViLLE to be'used as ~ prm~ t to co n c o its water and sewer sirs m
This permit is issued on the express tondiiion'that the.ERECTION _..AITERATIbN ,._...REPAiRS
X INSTALLMENTMOVING DEMOLITION respects to the statements ccrtified;to in the application foie
such permit, and that atl work shall be done in accordance-with the Ordinance of LAKEViLLE,'Minnesota and the Stah
of Minnesota pe~taininy to the construction of buildings.
Street Address 16147 Excelsior Drive- `Glenn A. LanKord
~ Director, License and Inspection
Attentkxt b partlct>ferly celled t0 the cutting up of streets. making mein Sewer Connectiohs. driveways and
curbs. Obteh permit: for such caastruction..irom theCfTY OF'LAKEWLLE. Mspection Department MoL
Responsible For Arty Detn~ea to Public Utllities.
The ttoltler understands end agrees that grentmg tl+is permit is not a warrartty or representation by
~I~, enet~ty~tlfetthapro)actwlMbesatearsatiatactory. B
Y
The permit holler understands ~d agrees that the City'sfutll havethe right to make periodic inspector
~ dtM'irlg rwttehuotion. H the permR holder does not make-arren9ement far the inspection the:Ctly may tun
off the watx untN such inspector has been made.
a,
i
k _
r
4.
t ~ i ~q ) i
S~«,
1
Wy^ t~
~ , ~
. ,
CITY OF LAKEVILLE
SEWER AND WATER PERMIT APPLICATION
Date _ ~~(®~6'S~
Job Site Address %7~ ~~[s_t: ,
Legal: Lot Block Addition
Owner or Builder C~iE'p jX a~~D,~s
Excavating Contractor ' WENZEL MECHANi~At Tel.
3600 KENNEBEG DAtVE, EAGAN, M! . 551
Address 452'1565 City Zip
Private Sewer System ($29.50 + .50) $
Private Sewer Repair ($14.50 + .50) $
City Sewer & Water Connections*(29,50 + .50). $
Inside Plumbing Conversion (15.50 + .50)• $
Sewer Connection Only ($14.50 + .50). $
Water Connection Only ($14.50 + .50). - $
S~ieter ($60.00) & Pressure Reducing Val~ze . $
* Metro SAC Charge S/W Connection Units $
TOTAL CHARGES $ p~ p.a
Is Street Excavation necessary? Yes
No
t
Signed V C
Make checks payable to: City of Lakeville
Send payment to: City of Lakeville Glenn A. (Barney) Langord
~ Inspection Dept. Plumbing ~ Heating Inspect.
Box g57
Lakeville, MN 55044 Tel: (612) 469-4431
I