Loading...
HomeMy WebLinkAboutNo 10874 ~ .~-,''~'!i ,~.,t::;~ ~tl.~:>~,._;> `s' r~~. ''fit` ,der,.. ~?~~k.~..<~4"~'1~~a i .T 6 . Glty of Lakeville ~,6, g, ~a~ ~ 110 1,t~~ INSPECTION DEPARTMENT Perfmit Fee • S A N ~ ~ ~ C E ~ ~ State Surcharge . , ` TOTAL FEE PAID . ~ P.n+?issiar its kereby araa?ed to gi l tn+e r Pl tueb i ng / 3o fg ~ 7 'I~e~f: n s tp ~ :Building on Let No. 'I7 81ack ~1Q.. Subdivision .D9t~*+?g's Vsatlar ltairtr S>fh ~ Fairest X22-21177-174-10 Rtat in-the CITY OF' LAKEVILLE to be us®d as Pattsit to connect to citT eir>~tar and aat~lr sy~t~m' 4 This pts?fmit is issued on the express condition tfiat tfie __._LRE.CTtON ~.ALTERATtON .____REPA#RS INST'ALLMEtd7 __._MdVING `D~MtOLiTlOidrespects to.~kle statements certified to in the apptiieation felt sueh peimit, and that all work shad be done s~lt'aa~sr`dasttewith tfie Ordinance of LAKEVILLE, Minnesota and the State r ~ Minnesota pertaining to the eanstruction of buildti~s. Street AsA#ress 16~OJ Fantasig AvenL~ C:la.~n e _ t.a„~~, AttentbgN petdCUlal'er CeMAd. to Bte CUtlinp up of sheets, making main sewer connections. driveways and DlPettOr, Lltei'ife and lOfpetflOfl CtYbe. tJbtaktperrtlit for tg1C11 cOneUuCtton kom the CITY OF LAKEVILLE. Inspectbn Oeparhnent Not - Reepotroible FCr AnY Oamegeato PutiNc U tiYties. The p6ryhit holdet utaderstarWe and epreea that granting this permit is not a warranty or representation by the GitY that N18 Wit tepl be sate w satisfactory. B Y The Ilsrtnk holder pnderstands end agrees that the City shalt have the right to make periMic inspectbn durhtp canstructldn. H thepertnirrbwer does not make azrangement to the nspection the City may tun ee oft iNe water unR7 such Ntepectton has been made. f6. - - M' _ c ~ ~j ~r ~ 7~ S G~ ~ ~ ~ ~ ~ r . ~ CITY OF LAKEVILLE ,SEWER AND WATER PERMIT APPLICATION Date ~ - / Job Site Address ~ /o ~O ~ ~i9.v Tr4S/~*~ J~~~ Legal: Lot Block Addition Owner ar Builder ~Q ~ ,%i/; /fF/~ yS ~ . Excavating Contractor /f,,i~;~ ~j,~ , ~ ~ Tel . ~ 9 `oS o Address _ /p/Zt/ ry/~ar,~ ~,y City G. ~ Zip Private Sewer System ($39.50 + .50) $ Private Sewez Repair ($I9.50 + .50) $ City Sewer & Water C~_ onn~.+-1 (39.50 + .50) . $ ~-C) Inside Plumbing-Conversion (19.50 + .50)• $ Sewer Connection Only ($19.50 + .50). $ Water Connection Only ($19..50 + .50). - $ Meter-($60.00) &.Pressure Reducing Valye. • $ * Metro SAC Charge S/W C©nnection Units $ B°Y:~' TOTAL CHARGES $ - Is Street Excavation necessary? Yes No Signed ,c'~ ~Q 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: (6I2) 469-4431 -