HomeMy WebLinkAboutNo 10155
L~ ~i '',~4h'''4~"'>R,~+l7F'~~~~'?•.`'~t~F~; x~" }~?`t'~+, ~ . ~ lA.. • , k L
i ~~dN'~ ~ -
City of Lakeville ~s,~ 2a
N~' ~ ~ ~ INSPECTION DEPARTMENT
SEWER AND ATER PERMIT PernutPee••~•}•-••• as.5o
_______;_so
AND EC E I PT ~---__s,~s~L,~.~
~ ~ rorAi,~rFe PAtu ~.~A . ~
Patimission Fs hereby gro++ted to MCGt11i"t t1it113.C81 ~ .TOe Mill ~
Builditsp on Lot No. aQ ~R1oc1~-~~-+'. ivis~on Valle4 Pezk nth Addtti.
Parcel a2-21177-20Q--~ 'Flat
in the CITY Of LAKEVILLE to tie used as Peet to connect to cite g~ avatar >~gmtem
This permit is issued on the express condition that `the ..ERECTION ,ALTERATION __._REPAIRS
tNS'fA~LMENT _..._MOVING ~DEMOLIT~~ONrespects #o the sJatsments certified to in the application for
such permit, and that all work shall be done in accordance with the Ordinancc~ot LAKEVtLLE, Minnesota and ttte State
of Minnesota pertaining to the construe#ion of buildings.
Sttroet Address 16253 ~antaaia Avenue W. Glenn I,e~gord
Att9ntI0F1,16 pirtii:ulazt;/ caked to the cutting up of streets, making main sewer connections. driveways end - DirettOr, Lifent:~ iM) Inspeetlort
OIFb8. Obtatn pevmk for such construction from the CITY OF LAKEVILLE. Inspection Department Not
RespormiCb ForArgrDartlBpes toPublic Utldties.
The perlblfhGldBl'tJrlder8tarlds !}nd agrees that granting this permit is not a warranty or representation by
the Ckylt~tAe prol~t wkl tie safe or satisfactory. B
Y
The pertllitholdN' understands antl agrees that the City shall have the right to make periodic inspection
durirpconatructlon. k ffia permk holder does not make arrangement to the inspection the City may tum
off Me water urs61 such Inspector has been made.
~.~_n ~ n . .e„ ~,.a. _ .~z_.u~._ . a .
v~~y
Es C ~.i ' •..~J '~'a°.~` -1 ~ ' T~ .A'4r4 ''d~.. ~ .ikav 'A. 1 11 \ i ~
' ~
~Y
~ `
R ..l.
/ ~
- ~1
..T \
4 ~ t
~ y
_ 4,~ _
_ _
CITY OF LAKEVILLE
~ SEWER AND WATER PERMIT APPLICATION
Date
Job Site Address /
Legal: Lot C Block Additi~~~ ~ G
> r
Owner or Builder ~ ~ !l _
Excavating Contractor,2 J
City, ~ Zip
Address /~c'C~-z.,~~
Private Sewer System-($29.50 + .50) $
Private Sewer Repair ($14.50°~+ .50) $
Sewer & Water City Connections*(29.50 + .50). $ _ ~ , ~ G~-
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 $ J7
Is Street Excavation necessary? Yes
No
Signed
I
~ Make checks payable to: City of Lakeville
Send payment to: City of Lakeville Glenn A. .(Barney) Langord
Inspection Dept. Plumbing & Heating Inspect.
Box M
Lakeville, MN 55044 Tel: (612) 469-4431