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City ~f ;Lakeville , February i~, ~_s~
N~ 1 j `Zg~ INSPECTION DEPARTMENT ~.r ~ '
Permit Fes 39 . S 0
SEWER /AND WATER PERMIT so
AN'D RECEIPT state surcharge .
TOTAL, fEE PAID . 40.00
O1-Berg Construction
Permission' is herby ywntsd to
8uildin4 on Lot No. 13 13lock ~ Subdivision Dodd Pointe 2nd Addition
Parcel 22-20$61-130--01 Ptai
in the CITY OF LAKEVILLE to be used as hermit to connect to c~.tv sewer & water system
This permit is issued on the express condition that the -ERECTION ~ALTERATiON.,.REPAIRS
~-INSTALLMENT .MOVING DEMOLITION respects. to the statements ccrtitied to in the: application for
such permit, and that afl work shah be dome in accordancewNh the Qrdinance of L,AKEVlLLE, Minnestta and the State
of Minnesota perfaininy to 'the consfrucfion of buiidinys.
Street Address 16232 Excelsior Drive Glenn A. Langord
Attention s partcularly Called to the cutting up-Cf sheets, making main sewer connections, driveways and Diresior, tlseose and 7nap~clrlon
curbs. ObtaM permit for such conshuction: from the CiTV OF LAKEVILLE~ Inspectwn DepartmenLtYOt.
IaesportaibteFor Any Aamageafo Public UNNaes.
The permM holder understands and agrees that grantMg this pemtdis not a warranty or representation by
- the i~ty MatMe project wNl be sateor satisfactory. By r -
The penMf holder understands and egress that the City shah have the right tq make periodic inspection
during rwraetructbn. N the permit holder does notmake arrangement for the inspechon the City may tum ~
off Me water until such 4tapection has been made.
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DATE c~ ' I
CITY OF LAKEVILLE
APPLICATION FOR SEWER AND WATER PERMIT
Site Address:_~(D!~.~~ C KC~Ls.xb~ ~~-T-V
Legal: Lot I;~ Block 1 Addition 1~ a IR.~ ~ o~; ~p,~~„>
Owner o r Builder : p~ ~ £ C-.> C Phone : `~3 ~ b`~~
Address: ~'-~(}t, ISM ~ 1. ~-C'. City: ~ rf'~'LF ?~4LC~~ Zip: JJ~c~:
Excavating Contractor : q S ~ ~ V ~ Phone
Address: City: ZipC
Private Sewer System ($39.50 + .50). $
Private Sewer Repair ($19.50 + .50). $
City Sewer & Water Connection ($39.50 + .50). $ 1-},~® dC~
Inside Plumbing Conversion ($19.50 + .50). $
Sewer Connection Only ($19.50 + .50).
Water Connection Only ($1.9.50 + .50).
Meter (3/4 in) - ($60.00). $ ~,p,tto
Pressure Reducing Valve ($42.75}.
Metro SAC .Charge. . $
Sewer & Water Connection Units.
Total Charges ~ ~
Is Street Excavation necessary? Yes
Nor
MAKE CHECKS PAYABLE AND SEND PAYMENT T0: 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