Loading...
HomeMy WebLinkAboutNo 11054 City Of Lakeville september 16 ~ 86 1 ~ X54 INSPECTION DEPARTMENT Perynit' Fes 3 9.50 SEWER AND WATER PERMIT AND RECE 1 PT sta+e sure~rge ......_____r__s© 40.00 TOTAL FEE PAI®. Pettitaission is hereby yrontsd to R. C. Plumbing/Sons Construction Bultdin9 on Lot Ho, 1G Slack. ~ 2 Sut?division Dodd Pointe Parcel 22-208b0-140-02 Plat: iinthe CITY OF LAKEVILLE to be'used as permit to .connect to city` sewer. & water syste>n This permit is issued on the express condition that the. _.ER'ECTION _ALTERATtON .REPAIRS iNS7ALLMENT MOVING ~DEMOLITION`respeets to the statements certified to in the`.applicatian tar such permit, and fhat all work shall be done.in accordance'with the Ordinance of LAKEVlLtt:, Minnesota and the State of Minnesota pertaining to the construction of buildings. ~ 1620 Excelsior Dr. Glenn A. L n ord Street Address ~-g - Attentbn is perdcuiery Called to the Cutting up of streets, making main sewer connections. ~+veways and Director, Literate and Insiatllen Curbs.,pbtaNt permit iM auChconstructionfromthe CITY t>F.LAKEVILLE:Inspectron.Departmant Not Reeporroible For Any Damages to Pubsc Utilities: permN ~ ThepermIt hoktsr underetarMs and agrees that granting this permn is not a warranty or representation by the City that the praJebt wiY be sate or satisfactory By , -The permit hoidet understands and agrees that the City.shali have the right tomake pbnodic inspection . during conetructian.Hthepermthoiderdoornotmakearrangement.fortheinapection4heCitymaytum off the water until such InapBCtibtt has been made. L - _ / S a ~ ' t ~ ~ 3 CITY OF LAKEVILLE ' ,SEWER AND WATER PERMIT APPLICATION .Date _ / / ~Cp Job Site Address ~~q Q~ ~ ~ ~ Legal: Lot Block Addition Owner or Builder j 3 ~ Excavating- Contractor ~ ~ ~ 9 Tel. T ~ Address ~ ~ City ~ Zi is - p s~~ Private Sewer System ($39.50 + .50) $ Private Sewer. Repair ($19.50 + .50) $ City Sewer & Water Connections*(39.50 + .50). $ a Inside Plumbing-Conversion (19.50 + .50)• $ Sewer Connection Only ($19.50 + .50). $ Water Connection Only ($19.50 + .50). - $ Meter--($60.00) Pressure Reducing Va1.ze . $ * Metro SAC Charge S /W C©nnection 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