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HomeMy WebLinkAboutNo 10358 1'°'°'~q"...: . +3Pf~rt^'~p°"°r'v'r~'-.S'r .Y',~c".~•~'se .t d"r~; £e- .,•v„ X` '~~t F z . - .hae. ice.. 3f i, ~ k-. ' City of Lakeville October 19. ~s4 N~ 1 Q35$ INSPECTION DEPARTMENT 29.so SEWER AND WATER PERMIT Permit Fee.......... State Surelnorge .30 AN©'REGEIPT TOTAL Fff PAID.. 36.00 Plymouth Plumbing /Joseph Miller Const. Pemnission is herby »ronted to 11 Donna fs Valley Park 8th Addn Building on Lot No. I6 i3lock Suhdvision y Parcel ~iE22-21177-160-11 Plat in the CITY OF LRKEVILLE to be.used as Berm~t to install cty~gawer and water ~or~,i ~o residence. This permit is issued on-the express conditionthat the ...ERECTION -.ALTERATION _REi'AIRS ,INSTALLMENT .-MOVING, ~DEMOLITIONrespects to the: statements certified 'to in the,appliaation for such permit, and that all work shall be done in accordancewilh the Ordinance of IAKEVILLE, Minnesota and he State of Minnesota pertaining to /he construction: of buitdinys. Street Address .1.6308 Fan si AvPnuP Glenn A hangord Attentlon'iapardculery ceNed to'd~e Cutting up of sVeets.m~king main`sewer connections.driveways.and DirlCtor, Litlns! end Insglctlon -curbs: Obtain pennlt•for such,construetionhomthe CITY OF'LAKEVILLE: Inapectwn.DepartmentNot - Rtiaporblble For Any Damages to Public UdNUes. ~ The permit holder understands and. agrees that granting this permit is oot a warranty or representation by /f ~ the Gty that Me proJectwill be safe or satisf~tory. B - ~ y :The permit holder understands and a®reestftat the CityshaN have~the right to make Periodic inspection during tmnatruCtion.-tf the permit fabler does not make arrangementlor the inspection the City may tum otl ttre wale until stidh inspection has been made. ~ r w,,., _ ~ •__F _ , s, c~, ~w ~,q ~9, , a CITY OF LAKEYILLE a ~ ,SEWER AND WATER PERMIT APPLICATION f r~ 1 ~ j r a G,.,.,,-, r # Date Qc-t / y Job Site Address ~~.~J' b~ ~,U ~.4s~ rq Legal: Lot 1~ Block L_ Addition ~Qc~ Owner or Builder 'Z-~ ' Excavating Contractor .~/may-~~ ~L-~ Tel. Address _~~,f ~ ~~,-~-di C.,~li~`` City: ~ Zip ~~7~ 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 Vahze. $ * Metro SAC Charge S/W Connection Units $ TOTAL CHARGES $ Is Street Excavation necessary? Yes No Signed 1~.~~~4'~X.,~ ~d`~~1~ 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