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HomeMy WebLinkAboutNo 10468 .ar .s, '~It ,:r ~ ~.ke t - :?~r}~y "~k''' e~~~ . n.. ~`qy,*"rv.,., ..17t ~r x. tr p4~' ^ti t March 25 , City of Lakeville ~ $5 ~ INSPECTION. DEPARTMENT 29.50 SEWER AND WATER PERMIT Permit Fea.......... State Surchorge .50 .AND RECEIPT TOTAL FEE PAt~, 30.OQ ~ Parntssion Is h.wby granted to Plgntouth Plumbing, Inc. / Joe Miller Const. Buitdfr?y on Lot No. 28 flock 11 Subdivision DonnaVS V811ey Park 8th Parcel X22-2117T-200-11 Plat itt the CITY OF LAKEVILLE to be used as Permit to connect to city sewer and water This permit is issued on fhe express condition that the _ERECTION .-ALTERATION REPAIRS INSTALLMENT -...MOVING +.DEMOLITIONrespecfs io the statements certified io in the application for such permit, and that all work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota and the State ai Minnesota pertaining to'the construction of buildings. ` 1b380 Fantasia Avenue Glenn A. Langord Street Address pgg11fi0niy perticutery called to the cutup up of Streets, making main sewer connections. driveways and DUattOr, LiGnsa cod InspaeHOn C(XbB. Oblakl permit for Hoch CORetruCtibh Yrom the CITY OF LAKEVILLE. Inspectwn Department Not Reaponaitib Fa Jtny Damepes to Publ~ UtlABee.. ; -7 i~., The permit iIOWBr underatandb end 8Qr6ea that granting this permit is not a warrar~ty or representation by ~r-~ _ / . 9` tha Ciit{ M~ Me project wlMbe safe W Hedsfactory. B~, fly ~ ~~~j(,~G TT The parlnfthOlder bndacstend8and agrees that the City shall have the right to make periodic inspection during con8lruCtlon. K the penYllf holder does not make arrangement for the inspection the City may rum off the water undl such fnapectfon has been roads. i m . G . t, „~%yv'Q~ ~ C W ~ A N tc3, ' . ~ ~ ~ I' ~ ? ~J ~a ~ ,rY CITY OF LAKEVILLE SEWER AND WATER PERMIT APPLICATION Date ~j ~ Job Site Address 3 ~ O ~~,u~~~js~i Legal: Lot Block 1/ Additio//n Owner or Builder ~6 e-- ~i ``e~' ~ US~ Excavating Contractor ~~i,~/1?Oq~T~'/ ~lGl~~j; ys ~•yc Tel.r~~9 7`~ Address ~3 City ~,Qls, Zip Private Sewer System ($29.50 + .50) $ Private Sewer Repair ($14.50 + .50) $ City Sewer & Water Connections*(29.50 + .50). $ 3e 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 C©nnection Units $ O TOTAL CHARGES $ 3d Is Street Excavation necessary? Yes No Signed ~ic.%l~tiu~.!'..y' <y oillG~~ 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 ~L