HomeMy WebLinkAbout1986-08-11 Permit, Water Well #8607GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAL BAY, MINNESOTA 55323
rr (612) 473-7357
Owner T� 1 �C t 1� `� r
Contractor —_
City License No.�
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE -
Inside Plumbing (arxturm
Water Nkter (Siae )
Meter q
Remote #
Mutw;ll %Wier Conne0on
O Copper ❑
Municipal Sewer Connwuon
O PVC ❑ Cast O
MWCC SAC Charge
On Site Spetic System
ACKNOWLEDGEMENT
❑ NEW
Fee $
Fee S
Fee S
Fee S
Fee $
Fee S
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Signet • oif A %cant
CITY PERMIT NO S607
Date Ll- 1�
/ r
Address
Addr(•ss
City
❑ ADDITION
Water Well
❑ REPAIR
Mechanical Equipment
Fireplace/%x)d Stove
Moving/Lifting Buildings
Land Alteration (Excavation,
Grading. Filling, etc.)
Design Review
Fire
Sprinkler System (Fire)
Other.
After -the -fact Ilncstigation
TOTAL
❑ REMODEL
Fee S _=-3-nZe>
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
State Surcharge: Fee S
Total Amount Paid to City Fee S
i_ If- /7C--C'
This permit is rkx valid until the proper fee is paid and it is approved
by an authorized City Official.
Signet of City OfTicia
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