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HomeMy WebLinkAbout1987-000173 - replace existing well PERMIT CITY OF ORONO PERMIT TYPE: SEWER 3 WATER 1335 Brown Rd. South • P.O. Box 66 Permit Number: 09/14/87 Crystal Bay, Minnesota 55323 Date Issued: (612) 473-7357 SITE ADDRESS: 570 TONKAWA RD P. I .N. : 05-117-2:3-:3.3-0009 DESCRIPTION: .:ewer h Water Permit. Type WELL Sewer h Water Werk Type REPLACE EXISTING FEE SUMMARY: Base Fee $.00 WELL -------*aQ_ Q_ Surcharge ---------1-59- Total Fee $30.50 :subtotal $ .50 WEMCFfi"I4LL INC App 1 d47 Vit'1 1 ah�EL' 1�' GEORGE 5115 INDUSTRIAL ST 570 TONKAWA RD MAPLE PLAIN MN 55:359 ONG LAKE MN 55:355 (612) 479-3121 (612)471-9732 R TA 'R)' T OK NEW SITE FOR WELL, COPY OF 'STATE WELL RECORD TO DE SUBMITTED TO CITY OFFICES, EXISTING WELL MUST BE ABANDONED BY CERTIFIED WELL DRILLER. 3 l PLICANT/P MITEE SIGNATURE ISSUED B Y/A.IGNATURE L I /] �� CITY OF ORONO CALLED IN 2 TIME �Lf-- INSPECTION NOTICE SCHEDULED fir �- PERMIT NO. 3 COMPLETED C�.', `{ ADDRESS 70 / c - cL- A2 OWNER CONTR. Sri TELEPHONE NO. ❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION ❑ FRAMING ❑ PLUMBING FINAL ❑ EXCAV./GRADING/FILLING ❑ INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS ❑ WALL BD. ❑ WATER HOOKUP ❑ LICENSING W ❑ FINAL ❑ METER SET/TURN ON ❑ COMPLAINT ❑ PROGRESS ❑ SEWER HOOKUP ❑ FOLLOW-UP y ❑ DEMOL ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER Z ALL TEST PUMP ❑ = COMMENTS: J LUT a lv s�i O O CC O W cc Q Z W W Ct j d W cc W ❑ WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN p ❑ CORRECT WORK&PROCEED U ❑ CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN. ❑ STOP ORDER POSTED.CALL INSPECTOR. ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. call for the next inspection 24 hours in advance. Owner/Contr. ite \ Inspector 473-7357 White/In pector's File Canary/Site Notice