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City of Lakeville ;~av 24, ~ 84
N~' ~ C}215 INSPECTION DEPARTMENT
Permit Fee ° 2 9 , 5 0
SEWER AND WATER PERMIT
.30
AND RECEIPT state Surcharge..... '
~a~AL .~D . t 31~.
Larson Excavating ,r
P.nnissioo is hereby granted to McGuire Mechanical / Jos 2~iller Ct1SSt.
Building on Lot No. 1 clock. 6 Subdivision ~ bonnaq Valley ,park Bah
Parcel X22-21177-D1~?-~6 Piai= : , ° r`
in the CITY OF LAKEVILLE to be used as permit to install city sewer and water ~q ,residence.
..This: permit is issued on'the express condition that the -ERECTION y ,ALTERAI'IQN REPAIRS
tNS7ALLMENT MOVING _DEMOUTION respects to'the spatsmenis certified to in the' appiicafion for
suth permit, and that ail work shall: be done in accordance with the Ordinance of LAKEVILLE,;Minnesota and: fhe Static
at Minnesota pertaining to the construction of buildings.
Street Address 16441 Farcry way Glenn. A. Langord
AtlentionisperdetA~y Celled to the cutting up of sVeets. making main sewer connections, driveways and Director, s.icenye and IneoettfM
CIXbe. Obtdn permit for each COr18hUCtiOn-lrom the CITY OF LAKEVILLE Inspection Department Not
ReepOne~19 FW Any pmnepea
io PubNc UtiUtiea.
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- The permit holder underetend6 end sprees that granting this permit is not a warrardy or representation by
:.the city N>at she project wa be sere w aedstectory. By ~
TTte penMt holder undsretends end egress. that the: Gty shall have [he right to make periodic inspecton
iiurlnp construdkn. tf the permit:hoWer fides notmeire arrangemont for the inspection the City may tlm '
off the water tm41 suchlnepectbn hea tteen made..
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CITY OF LAKEVILLE
SEWER AND WATER PERMIT APPLICATION
Date NAY 2~, 1984
Job Site Address 16441 FARCRY
Legal: Lot 1 Block 6 Addition
JurY~:: o° ~uil.uer JOE MILLER CONSTRUCTION
Excavating Contractor CARSON EXCAVATING, INC..
Address 15604 CORNELL TRAIL CityROSEMOUNT, biINN Zip 55068
Private Sewer System ($29.50 + .50) $
Private Sewer Repair ($I4.50~+ .50} $
Sewer & Water City Connections*(29.50 + .50). $
Znside 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 Connection Units $
TOTAL CHARGES $ ~ '
Is Street Excavation necessary? Yes
No
Signed ~ i `
Make checks payable to: City of Lakeville
Send payment to: City of Lakeville Glenn A. -(Barney) Langord
' Inspection Dept. Plumbing & Heating Inspect.
Box M
Lakeville, MN 55044 Tel: (612) 469-4431
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