HomeMy WebLinkAboutNo 10331
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City Of Lakeville -~.F.~.emb~r 2~. ~-~4
N~ ~ o'~~~,; :INSPECTION DEPARTMENT
„_...mw Permit F~a 2 9.5 0
-SEWER AND WATER ~RMIT ~ .so
/QkND RECEIPT t state Surcbo a
....J,.A_ TOTAL FEEPAID, 30.00
.Plymouth Plumbing /Jos. Milker Const.
PeeYr?issioe is hereby prorttsd to
:Building on Lot No. 14 Stock 11 Subdivis4an• ~~~~t>~'~~~r{k 8th Addn
Paroal ~i22-21177-140-11 Plat
in the CITY OF LAKEUILLE to be used as Fermi-~---~o~-co-nn~Ct to city sewer agd water sysr~±m
r`0
This permit is issued on the express condition that the- ERECTION ~ALT~A,TION ._..rREPAIRS
X INSTALLMENT _._..MOYING DEMOLITION rasp is to the statemenla~tified fo in the application for
such permit, and`tha~ all work shah be done in accordance with th Ordinance of LAKEV?LLE, Minnesota and the State
of Minnesota pertaining to the construction of buildings.
Street Address 16.272 Fantasia Avenue. Tenn A. Langord
- ' -Attention 'rs perHOUlarty Cegad to the cutting up of streets, making. main sewer oonnecdons, driveways and Director, LlLenst inr Intr~cflon
'curbs. Obtain permit for tuchco(tstruction from the CITY OF LAKEVILLE, Inapectipn ,Department Not
Responsible For Any pamapes to Public U oGnes
The permit holder underatanda snd agrees that granting this perms is not a warranty or representation by
the G1Y tllat the project: wa be safe or satisfactory. B
Y
- The perm~hOlder understands and agrees that the City shall have the right to make periotlic inspecton
durir>fl corte6uctbn. M the permit holder does not make arrangement for the inspection the City may tum
off the Water untilsuch inspection has been made. -
~
~t~~~
CITY"OF LAREVILLE
,SEWER AND WATER PERMIT APPLICATION
.Date ~
~ 'T ~ li ~
Jobe Site Address 5 r'~¢ ~
Legals Lot Block Addition
Owner or Builder.` - _ .
Excavating Contractor ~ ~ ~ :;-y'l q
-a~~ ~ ~ . _ Tel. J ~1 .
Address .J
~ C,ti'~`` City. ~ Zip
Private Sewer System ($29.50 + .50) $
Private Sewer Repair ($14.50 + .50) $
City Sewer & Water 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 Valve. $
* Metro SAC Charge S/W Connection Units $
TOTAL. CHARGES $
Is Street Excavation necessarq? Yes
No
. Signed ,~,.Qs~A~!~:C.l
Make checks payable to: City of Lakeville
Send payment to: City of Lakeville ~ Glenn A. .(Barney) Langord •
Inspection Dept. Plumbing & Heating Znspect.
Box 957
Lakeville, MK 55044 Tel: (612) 469-4431