HomeMy WebLinkAbout1987-11-02 Permit, Water Well #000399PERMIT
CITY OF ORONO PERMIT TYPE: t.E:WEER t, WATER
1335 Brown Rd South • P O Box 66 Permit Number: i)oo:3,39
Crystal Bay, Minnesota 55323 Date Issued: 11 /0 /�:7
(612) 473-7357
SITE ADDRESS: _
4G 1 !t i 1 ij{L:�? l.Ar•.1'- OR
DESCRIPTION:
":ewer or Wrote- Po:.-rvii t. I yF-E• WE.L.L
ewer 8+ Watr�r W.3rk Tyr--e R.' SIDE=Nt
f FEE SUMMARY:
Ease Vee $ G() WELL --- - - - --$ S?_QQ
Surcharge _ ----_1_5!) Tvtal Fee $.30.50
Sub tci, to 1 $ . 50
CONTRACTOR:
STOOOLA DON Whl_l.
11;::0E. HWY 7
M I NNETONKA
( 612 ) yti:c:-1 1 1 1
-- Ap•p 1 i c a►, t. -
CID 4' -3:j :1 1 1
MN 5 5:;45
REMARKS:
SITE TO BE OK'O BY CITY STAFF
SEND C:CIF.Y iIF :TATE WELL RECORD
OWNER:
_OUG1i1_ I N JOHN
4f ] F il1:c :1 l_A14. DR
hlD 1N0 MN S5•364
(- THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPEC I F I EO ANO AGREES TO 00 ALL WORK IN STRICT COl1Pl__ I ANCE WITH ALL CITY OF
L
OWW.1 ORDINANCE t: AND t:TATF CIF' M J NNF r:CITA E:U 11.h 1 NCB CODE RF'ok) I REMENTS
APPLICANT PERMITEE SIGNATURE ISSUED BY SI ATURE