HomeMy WebLinkAbout1986-08-25 Permit, Water Well #8635GENERAL PERMIT
CITY OF ORONO
P.O. BOX 66
CRYSTAL BAY, MINNESOTA 55323
(612)473-7357
owner 4 /2n o C'*fo ra ZL"
Cattnkor 454-ei)ens ! 11
City Limnse No. /.`
RFINARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE
bWk Plumbim Wfixtures )
Water Meer (Size )
Meter p
Remote a
Municipal Wake Correction
O Copper O
Mw icipd Sewer Correction
O PVC O Cast O
MWCC SAC Chaise
On Site Spetic System
ACKNOWLEDGEMENT
NEW
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
The utatkrsWted hereby akormakdpts reonpr d IN% limited Mmit.
ilkludwilt amnft tcc car ON special inkxrnatim. term., taxdAKN% or
rryurentertea wtiske apse nit tatder%*wd uralerwrxk and apm
under prnaky d law drat dtis permits imily limited in nnpr to for iAmli.
ulkity 4r toW „em m 4xviliied that this permit dtx% mA prant any
audxxily todo wtrrlt tw aysitia tegtar fq wparaar permit appnnak: and
Rini tkispermitdims nnl Er'm aullarxity to syahtr any pnriwm orany Cny
ordinam cr State law. ruk tx repulatmi m All sstxk Jell he Jortr in vrct
annpw"M with aI Cite tMdinamm hukbng udn and'(x health
tkpartmem rquiationK and %W be %utWo to tnspea m. approsal or
re)Mron M the City. wherw%cr %, extend. the wakrvltned apm to
ctoom am ssork knartd Rohe m the civuloitw%dIhis permit
Signature of A^pp-ii-a- nt /
CITY PERMIT ND 8635
Date �- ��s -X
Address AA .
Address60,24,0 t �
City
O ADDMON O REPAIR
Water Well
Mechanical Equipment
Fireplace/Wood Stove
Moving/Lifting Buildings
Band Aheration (Excavation.
Grading, Filling, etc.)
Design Review
Fire
Sprinkler System (Fire)
Other.
After -the -fact Investigation
TOTAL
State Surcharge:
ToW Ankwnt Paid to Cloy
O REMODEL
Fee S 0'
Fee S
Fee S
Foe S
Fee S
Fee S
Fee S _
Fee S
Fee S
Fee S
Fee $ 'so
Fee $..� .SD
This permit is not valid until the proper, fir is paid and it is approved
by an authorized City Olficwl.
Signature d City ' I
Ctxk: Wfuk. FileCt" Canary Ins(ttiyty'. Clvpy fink Finance Cttpy GoW ArK4%,ani's Receipt