HomeMy WebLinkAbout1987-05-22 Permit, New Water & Sewer Connect #9091GENERAL PERMIT
CITY OF ORONO
P.O. BOX tt
CRYSTAI. HAY. MINNESOTA 55323
(612) 473-7357
Ow tx r � ""s- (,-444
Contractor
City license No.--_--a�L--_- ----
REMARKS AND SPECIAI
PERMIT TYPE AND FEE: I NEW
Irtsitk Plumbing Infixtunti __--1 I -cc S
Walter Meter ISve __. ) fee S
hlctern .-- -- --- ----
Remote it
❑ ADI
Municipal Water Connetwit Fee S
I(I1Elplr ❑ - --
Munici I Stwer Conrtatlaon
PVC ❑ Ca -4 ❑
MWCC SAC Charge
On Site Sprtk S)stem
ACKNOWLEDGEMENT
Fee S
Fee S -- - -
Fee $
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CITY PFRMIT N? 9021
Date
Wdre�rnlilJl / %
4
City
)ITION ❑ REPAIR
Water Well
Mechanical Equipment
Fireplace Wiood tilos c•
Moving'Lifting Huddings
land Alteration (Fxcasation.
Grading. Filling. etc)
Design Re%- w
rife
Sprinkk-r System (Fire)
Other.
Afar -the -fact Investigation
IOTA I
State Surcharge
Total Nmouni Paid it, City
❑ REMODEL
Fee S —
Fee S —
Fee S —
Fee S —
Fee
S
Fee
S
Fee
S
Fee
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Ibis permit is mot .alld Intl the proper, Fee is paid and it is appnoved
hs an authonnd Cm Official.
%gnature A N t IIS Off- I
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