HomeMy WebLinkAboutNo 10598
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INSPECTION DEPARTMENT
'SEWER AND'11VATER PERMIT PermitF«.........._ 29.s0
AND RECEIPT state sutrcbarge so
TOTAL FEE PA;D . 30.00
Permiuioo is hereby granted to P~pmouth Plumbin&/Joe MillP3 Constr
Etuild;nq on Lot No. 15 81ock Subdivision Donnay's Valley Park $th Addn
Paireel X22-21177-150-11 Plat.
;n he CITY OF L.AKEVILLE to be used as p~r~it to Connect to city water and sewer system.
This permit is issued on the sxpress condition that the ..ERECTION `ALTERATION ,~.rREPAIRS
;NSTALLMENT .MOVING - ~DEMOLITIONrespects to the: statements certified to in the appikat;on; for
such permit, and that alt work shail'be done in accordance with the Ordinance of L.AKEViLLE, Minnesota and hs Sfah
of Minnesota pierta;niny to the construction of buildings.
Street Address 16`290 Fani~sta Avenue G enn A Langord
AttentkNr's particularly capad to the cutting up of str6eta making main sewer connections, driveways and DireetOr, Lit:ee?st and Mspettlon
curb: ObtaNt permit for auchconsWCtion.from the.CITY OF IAKEVH.LE.: fnspection t'~partmentlrk>t
-peeDOtreible Fax Arty Damages tP PuMic Utintiea.
i The permR holder underetarWa and agrees that grantingth~s PermR. is not a warranty or representationby
tf,e City Hutt the project win be sate or sat~fect«v. i3y
:The perrntt holder untleratands and agreee'that the City shah have the right to make periodic inspection
,during construction:# the permit tWWaz doesnot makearrangement for the inspeUianthe Gity may tixh
oft Uta water until such inapectigth~ been made.
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CITY OF LAKEyZLLE
SEWER AND WATER PERMIT APPLICATION
Date C~ / ' ~S
Job Site Address l"O ~'~,iL/ T/11i:~
Legal: Lot Blo~~c7?k Addition
Owner or Builder ./OG
Excavating Contractor y tiIIR~6, ~+~j ~~S Tel.~~'-' •~~+7'~
Address +r~}~~ /t3 fly ~,t~„ ,i?. City ~ ~p~.~ Zip S~y4~~
Private Sewer System ($29.50 + .50) $
Private Sewer Repair ($14.50 + .50) $
City Sewer & Water Connections*(29.50 + .50). $ 3 p,0 0
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 $ „~0+°-'""
Is Street Excavation necessary? Yes
No
Signed ~,~„~.y~(/ %y~~t~.t.~I'I,i
Make checks payable to: City of Lakeville
Send payment to: City of Lakeville Glenn A. (Barney) Langord
Inspection Dept. Plumbing ~ Heating Inspect.
Box 957
' Lakeville, MN 55044 Tel: (612) 469-4431