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1997-008697 - water meter
._. PERMIT � CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 �=`: '.�;�;;:;�d':,:;:�:: Crystal Bay, Minnesota 55323 Permit Number: ;;;.;;�;�,:,_�;;:� (612)473-7357 Date Issued: RV�; r��:,�,.:,-;� SITE ADDRESS: �. .. .11 f .=3��_��jl...�i I��A. t._�!i j -;1� _ i,i - - —t 3t)t}'.'s DESCRIPTION: ,.,'r': ��}_�' . ._� . �n 'r='1�.�r�i��i�-��a F=�_�;�r3i i t- T����� Wr i����' �•1�:1'�'�: �'1.�.d�f±��j,t t� 't.�l���i��:: �'yF��:� {.,:i.��`��'1�.�:i':��::�i i�it=t•�:t~ �;i.�� "ti r.�' f i�+..f;t' °.;���'7._:�?. �?!;l�;t�«i, c.t;r'�#�.°��i:�' n�r�iE��t.� �;°;�:�t:��=.�� !�iE.,irr�tF��, ��_y�.°���,�� �i���:.��t� s�c�t�= '�:Ef��_:il:_; REMARKS: FEE SUMMARY: ��ct��' P"�h' ���.__._....�..���_ls.tt�t �i�f'f..�� E�M';.'' �s�. "�j . [j�i CONTRACTOR: . . �::�:r �. :::=;����_. -- OWNER: + ,�:� . . .._a .?—;;..:i�l`t�i�i tl�#:���ik I R.;��L t=:��i �`���.'t 7i;1 :_; '._ i,:. . ��.; �:a i�tiv TY' :-_ ���; �.ii=;��:1-i j,;Vf;j t:�i�1 GV� _ _. _. =i�t :�t-;�r�fit.�.�r:�E:. C?�i ��R;�-'j�� ,T-`f;•i-;T 1�=.`I f- t"�';� .��:��L`.�.�, f��"4f_���I_i �*"t{tij f"L�'-,`��f i i-, -�- - .... , .. , . ., __. _..__ .. . - - - ---• . s r'!-_ 4° r n i i-,r`.E�-I i �:F-h`�{-��' '--`;-'•;�:i - - E � G � ; €r� ; { ! ! ,-g '. �-!� �-'G'� �'" i! :L;� ! ' r. , � .., �� . ... ... .... .._ .. ._.,._ . __.. ._.__ �•._�•_., ``' ; ' �. ., ,. ,. .. �. . . . , ... . . . ._._ �. _. . . . . ,. ,�.,__.. ._._r_._. ., .- :.r�i����` �i" -�,.1 E. t,' ' - �.., _ i .. � , : t ; r`��=' F ' % % 3 t ;�'f", i�, i i' ':,i 1_, i. ,.�, •..., i.: ,..3(�f., ,?��:�.:�_�_� ��_� ! , :�. _. ,., ' :''•' ��_ . :'+:i :±� �.,;�;�,��j_=t-'3?`���� •.�: i `. . . ,_..._ ... _ . . .. .... .� :!_ . .._ s., . � . , . ,_ _. -, ,.�. ....- i,E :y �sUF[ �'y � � �:.(tft �:`� %�`��:�'� �:: i � !_ (��_� r y - - - - z.' �L , :- ' . �2 �;!J { E t l+:�- �} {.�i 1 L ..�"''.. . ._� _��.. ��4r-•t. ._e..�.� r.e ._ _���� . _ �� l. .. . . _ _ : . . :. _ . ... .�.� ..� ... . ., ._ �.:.., ,_ _. _ . � � � �-C� J APPLICANT/PER E IGNATURE ISSUED BY:SIGNATURE CITY OF ORONO � 6124730510 01/15/97 10:55 � :02/02 N0:844 � `�CXTY Qr� nRG1NU AkYLII>A'r1uN �r�ux u l�1,i t Y 1•r.:xm.rt e Aox 66 (;2'��U Keltey Parkway) S�WEK/WATER � �rysta�Bvy, M.N 55323 � � �„°I � �; .�'N�I�A�1;1NF��1lUN 1. Ynu may Apply for utility p�nnits by mail or in person ut the Gity offiee�_ 2. Mai�ed i.�applic�tinns ur�subjer.t tu the posta�e end handling fc�s st�own belnw, Permi�cards will be eenC by caRirn m�fl the asme day tbn epplicecion is received. 3. Permits ar.e unt valid undl you receive e permlt card. 4. Work mu�t nqt bcgin unleKs the petmit c�.rd is avnilalale on the jab Aita. g; Urilicy connection permits may be issue�l ro licensed con.tractors only, 6. C.��►t.tact t��e 1'ublic Works Depar[tnent(473-714?)for utility stub as-built locations. DC)NnT FXCAVA'I'E: iN A�FX S'I'It�:�T AND UO N�'T T'AP ANY N!A'!N without express epproval of thB Public V1/orks f)ep�tmcnt. lsauance of a pcTrnit does not gr�nt this Rpp.rnvn�, '7. AU work must bc ct�ne in occordahce with State Gode regulrement9. B, All wbrk awst be in5�tcted hcfore it is covored, Call 473•7357. Z4 hour natice roqui�ed. .fOASIT�.Ann12Fs5:_3 8 s�o. sh o�L,`�u�. �r . - Qcc�ipancy Type: ResidentiAl fC�mmerci�l nwner'� Neme: ��,.ti co PhoneNumb�r: 11viHlling Avdresd�: = ---- � City:� ?�p: Contraecur'� ,Nam�: -,��.,�,G f�•- •�i�,�. Yhone Numbor: 1%/-7aio � 1V�qi�ln�A.ddre�s'7��'lv �f/AJ�c /�iG�� .l'� City: �'• /� 7�x,� PEB��."�:�YP� 11�lunirlp�l �ewer t:onnoction ($35.00 rer stub) �_�y_.-_ -�--- pipe sir� inches;: inaterial -w-•--_FV�; (on sand till); __ cast iron �AC(;f�r�r�e($90U.00')must�u:c��mpany all sew�r pem�.it applica�ions unlcss prepaid. if not prepeid, a aewer cunnecti�n�crmit will not be ir�yued, M4�►icip�tl Watc�`Conncctir►n (535.4U per stub) S `���/60 pipe size _ inch�s; material _copper; c�tl�er __�__,..�....._----- WA'1'�lZ M.ETF:RS must he picked up ancl aid for at Cit t-iall. (S/R" l�eters = $13��.00; " meters^ $191.0 ; 1" msters II $�47.OQ) SC{�erate Plwnbing Petniit is�ued 'c�r water m�t�r. Vlrntcr mctere mu�t bc Ket snd�caled by�runo Water I�epurtment(473-7357)up�n�ompleti�n of inet�r ihats�llstlon. R�:QLJIRr:A minimt.im setbacks from drainfield and septic tank�-75' It�?C�LJIRFi)setback from sawer lin�- �0' �' .RM� F 'E AL.GU�' ION 1.. Suk�tc�fal ot above permit rec�ua�ted $ . _ 2. Sta.te Su«har¢� � �-� 'Tho Stare�u.ilding C'ode I)f�tsfon Surchprge oPS.SO pmr permit n�uyr be includeci fot eneh we11, sewer and water co�neetion permit r�quested. 3. �,flyta,�e& ���diincc (Unly mail-in a�plicatiorts) S 1.50 4: TU'T'A[.. 1'ER.h�IT1• F�:E (add lines 1-3 ab.ov�) $ _._,__ � ,.,. Thd undersi�ned herehy i�ppli,es to the City �f CUrono fc�r issi�ancc of a Utility Permit, agreos to do �ll wc�rk in �tr�ct ac:cordunCe with the ordir��tnces of ih� City ancl the reg4lations of the State af [ViinneAots,and certifies that alt 9tate.m nt�mado an this a�plication ar�complete,truo and correct, 'Signoture of�p�►licutit: �,�u,� _T ,^ Dat�:�1�5 '��