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HomeMy WebLinkAboutNo 10676 ~S4b.~ 4$I,M1 Sr, ~,e,31ra.+z~ ;p'ro. h{" `r N.~a•, ~ f"'~"'-` `H;'~kY~ M"rt+.a* 'x'~crr~ ~it~~IP',%'~". ~'~v'F~*`T'', "~~!'~i i City of Lakeville r~o~e>r?b~r s, ~ INSPECTION DEPARTMENT SEWER AND WATER PERMIT Permit Fee.., 29.50 AND R EC E i PT sure surcharge TOTAL fEE PAID . 34.00 pem?ission is heeeby granted to P1Vi8outh Plwi~ktin,g/Joe P'L11 er .nnet sr-t3 ea Building on Lot No. 14 Block 10 Subdivision Donnay r ~ Vallelg Park Sth Addn . Perosi #22-21173-140-IO Plat in the CITY OF LAKEVILLE to be used as n~~ai t try coc?n@.~t t; n C1CT wAt•s,r ~nri .'~;sgr aTatasq This permit is issued on-the express condition that the -ERECTION -ALTERATION ..-...REPAIRS INSTALLMENT _.Mf7VtiYG ^DEM©LfTtOMrespects to the statements certified io ie the sppticafion for such permit, and that alk work shalt be done in accordancewifh the ordinance of LAKEVILLE, Minnesota and Ills State of Minnesota pertaining to the construction of buildings. 16361 Fantasia Avenue Glenn A I.angord Street J~lddress Attention Is particularly called to the cutting up of streets, making main Sewer connections, driveways and Oirettor, Liifnfe and InsOeNlon curbs. Obtain permit for such construction from the CITY OF LAKEVILLE. NspeCtion Department Not Reaponslble Fa Any Damages to Public Utilities. - The permit holder understands and agrees that granting this permit is not a warranty or reprflsenterpn by ~ the City Nat the proyect wiN be sera or satisfactory. By Tne permit holder understands and agrees that the City shall have the right to make parodic inspection durlnq construction. H the permit holder does :not make arrangement ror the inspechon the City may turn off the water until such Inspection hasbean made. i ~ d s~. ~ / . d r. ~ CITY OF LAKEVILLE SEWER AND WATER PERMIT APPLICATION Date ~d U ~t$~ Job Site Address j~,~ (Q ~ !°~r~ T-~S~r~i~ Legal: Lot Block _ Additio/n Owner or Builder ~O e- ~t ~leh ~ US~: Excavating Contractor ~fil/'li'0q!/t'/ ,/~`Gll~f~;,clS ~.c,~4 Tel. ~S9 -.3~* T~ Address ,,,~3 City ~,Jls, Zip Private Sewer System ($29.50 + .50) $ Private Sewer Repair ($14.50 + .50) $ City Sewer & Water Connections* (29.50 + .50) . $ ~-t Inside Plumbing Conversion (15.50 + .50)• $ Sewer Connection Only ($14.50 + .50). $ Water Connection Only ($14.50 + .50) . - $ r-5"~~ Peter ($60.00) & Pressure Reducing Valve. $ Metro SAC Charge S/W Connection Units $ TOTAL CHARGES $ '3 bff.-- Is Street Excavation necessary? Yes No Signed ~~~~~/J~~'~ - Make checks payable to: City of Lakeville Send payment to: City of Lakeville Glenn A. (Barney) Langord Inspection Dept. Plumbing & Heating Inspect. ' Box 957 II Lakeville, MN 55044 Tel: (bl2) 469-4431