HomeMy WebLinkAbout1985-06-20 Permit, Storm Sewer #7957GENERAL PERMIT
CITY OF ORONO
P.o.Box t.tt
CRYSTAL BAY, MINNESOTA 55323
(612) 473-7357
CITY PERMIT NO. 7957
Date Z-•76—
Owner At Address "26',-;— CItdC.li A RCS.
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Contractor Lk),14-,.lc i i( ' Address � Ll" L1 /`G+���
City License No. State License No.
REMARKS AND SPECIAL CONDITIONS
ACKNOWLEDGEMENT
The unJeru{ned hrrtbv .rYnu. I.d{e. rrr , of 01. banal
wrrrin. Inc ludvl. .rr 1_1 ul W —1.1 Inlorm.Yon.
Yrtrr, ru,mu..n. d rtOUWmrnV +n1Un .bar. Thr
uoa.rrfsre undrnUnd..nd .enc. undrr wo.lt, of 4.
Ill.l NU wrmlt Ir rWral am1Yd b .cop to th. .ue{,
.rurin r. UnDrotemenl q.[Inre: N.1 l wenn dou
Ix y.n1 .n ryu,nrt lir 10 do .at n «..Iw. nrylrhlt
..vum wm+u .Loraw:.na Iha Ihl. wrmu d... n
O.nl rrNnnt. .td.Y era Aa of CII.
.umn.nr. nr Gt.n I.., .uY orrrry4uun. A.w{k NW b.
dnn. In —It corn OU.nrr .IN W Cln urdul.ncr., buddln{
1u 1 .nd/or MJth deb -11 rt{v UUnn., urd NW WwbMrl b NW.r W.U.I. .p ,.W ,rt Unn br Nr C11,
n-b.n —d—d. m..aerr d artr. w r
.Pik round u. d to .tn4Uon of Nr ronmuon j
Nu y.rmre
Signature of Apphcant
TOTAL
State Surcharge: Fee S _ /.
Total Amount Paid to City Fee S 461,
This permit is not valid until the proper fee is paid and
it is approved b) an authorized City Official.
Code. white I He Copy Canary Inspector'. CovY Pink -1 III{
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PERMIT TYPE AND 1:1 F:
(JQ NEW ❑ ADDITION
/ \
❑ REPAIR
Imide Phlmhmp 1*fi%1urc,_1
Fcc S _
Water Well
Fee S -- _
Water Meter (Size_)
Fee S. __
Mec'hanicalFlluipment
Fcc S __
M.ler
Remote
Moving 'Lifting Buildings
Fee S
Municipal Water Connection
Fee S .St�e VC
Land Alteration (Excavation.
Fee S
1_1Grading.
Filling, etc.)
*opprr
Municipal Sewer Connection
Fee S.
Fire
Fee S
❑ PVC ❑Cast
r_
Sprinkler System (Fire
p
Fee S
MWCC SAC Charge
Fee S_
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their: - �ft`Z1) ( �C3�' s
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�� Fee S110
On Site Seplic S),tem
Fee S
Aflcr-ihe-fact Investigation
Fee S
ACKNOWLEDGEMENT
The unJeru{ned hrrtbv .rYnu. I.d{e. rrr , of 01. banal
wrrrin. Inc ludvl. .rr 1_1 ul W —1.1 Inlorm.Yon.
Yrtrr, ru,mu..n. d rtOUWmrnV +n1Un .bar. Thr
uoa.rrfsre undrnUnd..nd .enc. undrr wo.lt, of 4.
Ill.l NU wrmlt Ir rWral am1Yd b .cop to th. .ue{,
.rurin r. UnDrotemenl q.[Inre: N.1 l wenn dou
Ix y.n1 .n ryu,nrt lir 10 do .at n «..Iw. nrylrhlt
..vum wm+u .Loraw:.na Iha Ihl. wrmu d... n
O.nl rrNnnt. .td.Y era Aa of CII.
.umn.nr. nr Gt.n I.., .uY orrrry4uun. A.w{k NW b.
dnn. In —It corn OU.nrr .IN W Cln urdul.ncr., buddln{
1u 1 .nd/or MJth deb -11 rt{v UUnn., urd NW WwbMrl b NW.r W.U.I. .p ,.W ,rt Unn br Nr C11,
n-b.n —d—d. m..aerr d artr. w r
.Pik round u. d to .tn4Uon of Nr ronmuon j
Nu y.rmre
Signature of Apphcant
TOTAL
State Surcharge: Fee S _ /.
Total Amount Paid to City Fee S 461,
This permit is not valid until the proper fee is paid and
it is approved b) an authorized City Official.
Code. white I He Copy Canary Inspector'. CovY Pink -1 III{
orcity
Gold -Apytlme's il{{Mpt