HomeMy WebLinkAboutNo 10481
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City Of Lakeville ~~~rch 14, ~
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N°; Z 0481 INSPECTION DEPARTMENT z~.s~
SEWER AND WATER PERMIT Permit fee..........
AND RECEIPT state surthcrge , .so
TOTAL FEl: PAID , 30.00
P.rmission is M.eby prantad to P1Vmouth Plumbing, Inc. / Joe Miller 'COnst.
Buildio9 on Lot. No. 19 Block 10 Subdivision Donnav's Valley Park Rth Addn
Parcel3`~22-21177-19~-1~ Plat
in theGITYOFLAKEVILLEtobt?usedas Hermit to install city sewer and water to rQgicf~~e
This permit is issued on the express condition that the ERECTION -ALTERATION -REPAIRS
INSTALLMENT ,-.`MOVING -.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 construction of buildings.
Stlroet Address'' 1671 F~^*RSta Auenue Sid Miller
Attention b pertlculerty OaNad to the txriting up of sheets. making main sewer connections. driveways and Dir!<tOr, LIClns! !nd Inspletlon
isurbS.;Obtairl pennkfot 8UCf1 COtfSiruCtion-from the CITY OF LAKEVILLE. Inspectbn Department Not
fllepOneibb Fa Any Daneges to PubNCU tlNties.
`The Permit hOldlt understands 8nd ag186s thalgranting this permit is not a warranty or representation by
ttte Uty that the prOjBCt atiq t18 Safe or satisfactory. r
the t>armff;faider undaretends end agrees thatthe City shall have the right to make periodic inspection `
during COnBtrUCIlOf1.`tF the pefllllf FiOkJer di~e9. not make arrangement fa the inspection [hB City may cum
Ott th9 wets[ until8uch 6rePeOtion ~ beenmade.
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CITY OF LAREVILLE
SEWER AND WATER PERMIT APPLICATION
Date ,~fl~c.~ ! Z, n S
Job Site Address ~lo,~~/ /~~.eJft~S~`p~-
Legal: Lot ~ Block U Addition r
Owner or Builder dec. /~.`~~c!^
Excavating Contractor "fly sJ~®ctY~r ~e~u~.r ~i ~c15. ~st, Te1.Jr.5~~1-'3~O7J
Address j~,?Z ~ •z3h~P f~uc .y, City I'yf~ls ZipS.S
~F5ll
Private Sewer System ($29.50 + .50) $
Private Sewer Repair ($14.50 + .50) $
City Sewer & Water Connections*(29.50 + .50). $ 34
Inside Plumbing Conversion (15.50 + .50)• $
Sewer Connection Only ($14.50 + .50). $
Water Connection Only ($14.50 + .50). - $
Meter ($60.00) & Pressure Reducing Valve. $
* Metro SAC Charge S/W Connection Units $
TOTAL CHARGES $
Is Street Excavation necessary? Yes
No
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Signed /.~.e%t~<L/.G(~ ~~rC~-J
Make checks payable to: City of Lakeville
I Send payment to: City of Lakeville Glenn A. (Barney) Langord
Inspection Dept. Plumbing & Heating Inspect.
Box 957
Lakeville, MN 55044 Tel: (612) 469-4431
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