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HomeMy WebLinkAboutNo 10359 e~ ,.,.a~.+;~t~+°'~' a ,q'S j3 ~'~^~hi $.~:;~3 k~',:. ~S+ :!,Pw~, .""L~ °~Y~.;'`. .kY K +rc~<~i~'~„{.~!9A~14~':~=t.'";~'~--~f~ ~ ~^^k ~ . - - ~ City of Lakeville °ctober 19, ' ~ $4 ~ 0:359 INSPECTION DEPARTMENT 29.so SEWER AND-:WATER PERMIT Permit Fee....::. AND RECEIPT _ state surchorge so TOTAL FEE PAID . 3fl . 40 Plymouth Plutabing /Joseph Diller Const. Permission is hereby granted to Building on Lot No. 93 Block 11' Subdivision Donnays Valley Park 8th Addn Parcel ~~22-21177-23n-I1 Plat in the CITY OF LAKEVILLE to be used as Permit to connect 'to cites sewer end water s~i9tem This permit is issued on he express condition that the .=ERECTION:: yALTERATION-REPAIRS 'X INSTALLMENT .-MOVING -..DEMOLITION respetas to the statements certified to in the apptkation for such permit, and that all work shall bt: done in accordance-with the Ordinance of .LAKEVILLE, .Minnesota and_tht State of Minnesota pertaining to the construction. of buildings. 16414 Fantasia Avenue Glenn A. Langord 5treef Address :Attention is pm~ticulary celled to the cutting up of streets, making maidsewer connectlons: driveways and - DireetOr, License snA Ins~eCNOn dirbe: Obtaln permft' fur such. construiaWn. from the CITY OF LAKEVILLf. Inspection .Department Not ReaponeiUle For Arty Demeges'td Public UdNaes. .The pennk hokbr understands and agrees that granting this permit is not a warranty or representation by _ the Oily that the Protect wsl be seta or satisfactory. B y `The pemdF Holder understands and agrees that the Gity atiaN have the rigMYO make periodic inspection during consfructlan: M. the permit hekfer does. not makearrangement for the. inspection the City may cum - ofl the water until auuhinspection hee been made. - R / • ~ ~ /V.kl ~ ~ ~ . ~ ~ ~ ' ~I CITY OF LAREVILLE ,SEWER AND WATER PERMIT APPLICATION Date Oc~ (5', Job Site Address _ 1 ~~U f'~s ~'q ~UL. Legal : Lot Block ~ Addition ~ a~ `s f1~dJ Owner or Builder pe.' } ~-n - $ Excavating Contractor ~ ~ ~ Tel. , ~ _ ~ „ ~ F Address ~ 7,-~t /c_ s City r, r~ f`~~ Zip , r ~L 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 Valee. $ * Metro SAC Charge S/W C©nnection-Units $ TOTAL CHARGES $ Is Street Excavation necessary? Yes No Signed ~,l~,~z~~t~X ,~~~iJ'~~y . ~ Make checks payable to: City of Lakeville , Send payment to: City of Lakeville Glenn A. .(Barney) Langord Inspection Dept. Plumb in & Heatin Ins ect. g g P . BOX 957 Lakeville, MN 55044 Tel. (612) 469-4431