HomeMy WebLinkAbout10633 CITY OF LAKEVILLE
SEWER AND WATER PERMIT APPLICATION
Date
Job Site Address _ ~~?_~~~t3 ~ ~,,,®..rt~
Legal: Lot Block Addition
Owner or Builder ~
Excavating Contractor~~"/ t - Trel-. ~S~
Address
,~j~~~ /~l City c,-~l~ Zip ~01
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 $ ~ ~t C
Is Street Excavation necessary? Yes
No
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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
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