HomeMy WebLinkAboutNo 10210 o pity of Lakeville Mav r7~, ~
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N' 1 Q~ 1 ® INSP CTION DEPARTtuIENT ~
permit Fee 2 9.5 0
SEWER!.AND WATER PERMIT so
AN 1~~ fiECE`l P'~' state surcharge
- TOTAL FEE PAID 30. t)Q
Permtssioo .s hsnby pront•d to Larson F.~,avating / Jos. M. Mille&'~Coilet.
Building on Lot No. 13 Bl~ic~? 11 Subdivisio I3onnags Valleq Park ~3th Adsln
Panel X2:2-21177-130-11 Plat
in the GtTY OF LAKEVILLE to be used as rmi o o ect ~to ctf~r sewer and water guts etnra
.This permit is issued oo the express condition that the ERECTION __._ALTERATION ____REPAIRS
_X INSTALLMENT ._MOVtNt"s DEMOLITION respects 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, Minnesota and the State
of Minnesota pertaining to the tonstruction of buildings.
Street :Address 16254 Fantasia Avenue Glenn A. Lani;ord
`Attentionbpartlcutery Celled ~ the Cutting up of alreets. making main sewer connections. driveways and D'it!lt+Or, LiNnse and lnapeetlt~rf
CUft)S. OtltBin permit for auCh COnstructionhomthe CITY OF LAKEVILLE. Inspecton Department Not
Reeponaible Fa Airy t)emapea to Pubic Utilities.
111@ permN bolder UnderatarMe and agrees ttiatprariting this permit is not a warrarrty or representation by
the City that the project wlN be safe or satisfactory. ~ n _ - / / -
- ThepemW h01del Underatend8 end agrees that the City shaii have the right to make periodic inspection y
during eonstiruction. H the peimtt holder does. not make arrangement for the inspection the City may tum
- oft the Water ixttll such Inepectbn hes been made.
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CITY OF LAKEVILLE
.SEWER AND WATER PERMIT APPLICATION
Date r:AY 17 , 19 ~ 4
Job Site Address 16254 FP..NTASIA
Legal: Lot 13 Block 7-7- Addition
Owner or Builder JQE 1~_ILLER C®NSTRL"aCTICr?
Excavating Contractor LP:RSON EXCAVATING
Address 15EC4 CORNELL TRAIL CityRdSEl`~OL'NT., NINN Zip 55068
Private Sewer System. (.$29.50 + .50) $
Private Sewer Repair ($14.5a•~+ .50) $
Sewer & Water City Connections*(29.50 + .50). $
Water Connection Only ($14.50 + .50). $
Sewer Connection Only ($14.50 + .50). $
Meter ($60.00) . $
Pressure Reducing. Valve $
* Metro SAC Charge $
TOTAL CHARGES $ p• ~
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 M
Lakeville, MN 55044 Tel:. (612) 469-4431