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HomeMy WebLinkAboutNo 10601 , ~ ~ 3~. a City of Lakeville August: >.,2, ~ ss N° 1 ~ fNSPECTION DEPARTMENT Permit Ftae SEWER AND WATER PERMIT .:.AND RECELPT stiote sdrehorge TOTAL fEE PAiD . 3:0.00 pdrmission is horoby granted to Plymouth Plumbn>z/Joe Mill r Cery.4~. t3uildiny on Lot No. 9 8iock 12 Su6divisicn Donnay's Valley Park .8th Addn. Parcel X22-21177-090-12 Pieta ~ in the CITY OF tAKEVILLE to be used as .T prmi t to rnnnart to ri t~ coo tar snrt aa~d®S S~ S1aB69~ This permit is issued on'the sxpress condition hat theERECTION ALTERATION .-..REPAIRS X iN TA NT .rMOViNG DEMOLITION res ects to the statements certified to in thr a Jication tore S LLME p PP ~ such permit, and.. that atl work shall be done in accordancewith the Ordinance of LAKEYILLE, Minnesota and tte Ststs of Minnesota pertaining to the construction 'of buildings. Street Address 16162 Fair~reen Avenue t=1 A_ Laneorj~,~, ~ AtteMbn i8 pardCUkry Called t0 the cutting uP pf streets, making main sewer connBCtions, driveways and Dlrottor, Lis4nse srld Inlro•ittOn curbs..Obtain permRfor such construction from the CITY OF LAKEVILLE~ InaP~tfonDepanmentNOt Resporroibte For My Demapes to Publk: UU9ties. The permd holder understands end agrees that granting this permri rs not a warranty or representation by , the Gty drat die project witl tie safe or satist~tory B Y ~ ThepermR holder understands and agrees that the CRy shah have~ihe right to make periodic inspection during construction. H the permit holder does rrot mice arrangement for the. inspecfia~r the Pity may tum off the water until such inspection t>es gees made. ~ ~I~, S.l,~, ~ ~ ~ 0 CITY OF LAREVILLE SEWER AND WATER PERMIT APPLICATION Date Job Site Address ! ~0~(~,~- F. ~GGC./J Legal: Lot Bl~o---c~~k ,~A/d/dition Owner or Builder ./OG f"`~f6/~~ Excavating Contractor ~ly yip tll~li PlS Tel . ~.S y- 3 ~ 73 Address ,~y~-~~ ~,3 ~ /V~ City /~1.~ llydu~ Zip ~J ~~i'~~ Private Sewer System ($29.50 + .50) $ Private Sewer Repair ($14.50 + .50) $ City Sewer & Water Connections*(29.50 + .50). $ :~6, O d Inside Plumbing Conversion (15.50 + .50)• $ Sewer Connection Only ($14.50 + .50). $ Water Connection Only ($14.50 + ,50). - $ Meter ($b0.00) & Pressure Reducing Valve. $ * Metro SAG Charge S/W Connection Units $ TOTAL CHARGES $ 3© 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