HomeMy WebLinkAboutNo 11051 v,,P. ,.r .v.. m,•z; ..~/e~. ~~i +~+vM'na,~q'eL^~. -•+l-._
~•:..-v '!<<a9r+~t~.x~p .:,ws r, ?~'~'i~t,'A.^-t^°~4! ,~'r'~R''~S.llg3~;''t'~r~
» ~
September 16-, 86
City off, Lakevi'Ile
No ~ ~ ~5 ~ INSPECTIQIV DEPARTMENT
39.50
'.`SEWER>AND'WATER PERMIT Per~,i>r F.....:......
.`AND ;RECEIPT state s~f~r~e
TOTAL FE1E PAID .
Permission itt herby yrant.d to Hiltner Plumbing/Jos. Miller Constr.
:Building an Lot Na. 4 Block 12 Subdivision _Donnay's Valle Park 8th
Pewcel 22-21177-040-12 Ptat
in the CITY OF LAKEVIL6E to be used as Permit to connect to cites sewer & water svst~m
This permit is issued on the sxpress t:ondition that the -.ERECTION _.ALTERATfON ..REPAIRS
R INSTALLMENT - MOVING:DEMOLITION respects to the statements certified to in thr applieatian for
such permit, and that atl work shall be done in aceordancewith the Ordinance of LAKEVILLE, `Minnesota a»d the Stets
of Minnesota pertaining to the construction of builfin9s.
Street Address 16072 Fairgreen Glenn A. Langord
Adentfon FB partfcalery called to Nis cudJng up of streets, making main sewer connections. driveways and Director, Lissnst and IntsOlCtian
curbs.-Obtdn permit for suchoonstructionfrom.theCITY OF'LAKEVILLE.:Ihspectron DepartmentNot
ReeponalDle fa Ary+Damsges toPubfic UHNttes.
-The permit hoktsr unden?.tands dtd agrees that granting this permd is not a warranty or representation by ~
the CNy Heat the projeclwfll be sate or satisfactory. - B
Y
~ The permit holder understands and agrees-that the Cfty'shall heve~the right tomeka parodic inspection _
during construction: ff the pennn trokfer does not make arrangement for the arepection the City may rum
oil the water UnW such k~spectkm has bed made.
r~ ~s ~
~ ~ \ ~
t
S%,,,~ ~ ,
~ ~
,
0
CITY OF LAKEVILLE
,SEWER AND WATER PERMIT APPLICATION
f~
Date
~ ;
Job Site Address G~~1ri'~
Legal: Lot Block Addition
~~i T'
Owner or Builder _ ~ ,~f/-•,~^
3
Excavating Contractor _ _ ~~J~J% ~`r~~1 Tel .~fi o~~~
Address City Zip
Private Sewer System ($39.50 + .50) $
Private Sewer Repair .($19.50 + .50) $
City Sewer & Water Connections*(39.50 + .50). $
Inside Plumbing-Conversion (19.50 + .50)• $
Sewer Connection Only ($19.50 + .50). $
Water Connection Only ($19.50 + .50). - $
Meter--($60.00) &-Pressure Reducing Valve. $
* Metro SAC Charge S/W Connection-Units $
TOTAL CHARGES $
Is Street Excavation necessary? Yes
No
Signed ~ ~ G'~.~-G
Make checks payable to: City of Lakeville
Send payment to: City of Lakeville Glenn A. .(Barney) Langord
Inspection Dept. Plumbing & Heating Inspect.
Box 457 -
Lakeville, MN 55044 Tel: {612) 469-4431