HomeMy WebLinkAboutNo 10216
~ ;;~e~~-,,,,~. `,~,::-;x?~~{~:~'~, ,,,.~h~..~re7~~'" '~b.,.,.+..~>.~fti+"1!~ r~~ 9+:; a!a.~ ,v`Y2;r:, .,,bpe, vD+ A. :r;-:
i4"
-
May 24. I; r 19_$4.
City of Lakeville
N~ 1021 ~ INSPECTION DEPARTMENT ;t~t~
Permit Fee.... 29.50
SF~ I~V ANp WATER PERMIT ~ so
/~?N ~i ~ C E i PT state surchalrge .
TOTAL FEE PAID .
Larson Excavating
P~nnis~ion is h.rby groat~d to McGuire Mechanical / Jos M. Miller Const.
Buifdihq on Lot No. 6 ' clock subdivision ~ Donnavs Vallev Park. 8th Addn
Parcel X22-21177-060-10- Plat
in the CITY OF t.AKEVILLE to be used as _ Bernit to contnect to city sewer and water sgstem
This permit is .issued on the express condition that the ._.f=REGTION _AITERATION REPAIRS
v
INSTALLMENTMOVING ,,._DEMOLITIONrespects to the statements certified to in the application for
such permit, and that all work shall'be done in accordance with the Ordinance of LAKEVILLE, Minnesois and the. State
a# Minnesota' perfainfnq to the construction of buildings.
Street Address 16272 Fernando Wav ` Glenn A Langord
Attention 6 pertlCUlary eelbd to the cutting up of streets, making main sewer connections, drweways and Director, License and Inspection
otrbs.,ubtrYn pemrit for such. conatruciion-from thegTYOF IAKEVILLE. Inspecton Department Not
Reeponairle ForArty Darttagea to Ptrb~ UUNtias.
The permH holder understands end agrees that granting this permit is not a warrardy or representation by
the City that the protect Wiq be :safe or satisfactory: i3y
The Pefrrlit holder tutiferatand8 end agrees that the City shall have the right to make periodic inspecton
dtXinQcan6iruction.H Ntepermit hokler doea.not make arrangement for the inspection the City may turn
- off tare water un61 such inspection nas been made.
_ - ~ ~ ~ _
d 8
•
~t~'=.~.---
~ ~
t ~
~
9-, ~
~ ~
CITY OF LAKEVILLE
.SEWER AND WATER PERMIT APPLICATION
Date N.~AY 2 2 , 19 8 4
Job Site Address 16272 FERNANDO
Legal: Lot 6 Block 10 Addition
Owner or Builder JOE MILLER CONSTRUCTION
Excavating Contractor CARSON EXCAVATING, INC.
Address 15604 CORNELL TRAIL City ROSEMOUNT, D"_INN Zip 55068
Private Sewer System ($29.50 + .50) $
Private Sewer Repair ($14.5Q•~+ .50) $
Sewer & Water City Connections*(29.50 + .50). $
Inside Plumbing Conversion (15.50 + .50)• $
Sewer Connection Only ($14.50 + .50). $
Water Connection Only ($14.50 + .50). $
Meter-($60.00) & Pressure Reducing Value. $
* Metro SAC Charge S/W Connection Units $
~
TOTAL CHARGES $ '
Is Street Excavation necessary? Yes
No
Signed «r, _ r,,,,,~..._ c a }
Make checks payable to: City of Lakeville
i Send payment to: City of Lakeville Glenn A. .(Barney) Langord
Inspection Dept. Plumbing & Heating Inspect.
Box M
Lakeville, MN 55044 Tel: (612) 469-4431