HomeMy WebLinkAbout1985-09-18 Permit, Water Well #8093GENERAL PERMIT
CITY OF ORONO
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CRYSTAL BAY. MINNESOTA 55S:3
(6I:h73-7.157
CITY PERMIT NO. 8093
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City License No._______/O ^ ^ •
^ -----------------------State License No.___________
Owner___
Contractor
RFMARKS AND SPLCIAL CONDITIONS
PERMIT TYPE AND FKfi:
Inside Plumbing (#nxlua*s __|
>i:W □ ADDITION
Water Meter (Si/e__)
Meter# _________
Fee S,
Fee S.
Remote
Municipal Water C onnection
□copper n
Fee S.
Municipal Sewer Connection
□ Pvr Dcs, □_
MWee SAC Charge
On Site Septic System
Fee S_________
Fee $.
Fee S_
□ repair
Water Well
Mechanical Equipment
Moving / Lifting Buildings
Land Alteration (Excavation.
CJrading, Filling, etc.)
Fee
Fee S__________
Fee %__________
Fee S«._________
Sprinkler System (Fire)
Other; ___________
Afler-the-fact Investigation
Fee S.
Fee S_
. Fee S,
Fee
ACKNOWLEDGEMENT
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Signatua*'^*<^Applicjmt
TOTAL
State Suaharge:
Total Amount Paid to City
Fee S.
Fee SY>
Signaiu^of Gly Official^
y/v/x: