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HomeMy WebLinkAbout1985-8043 - municipal sewer connection , � ,-w �� � . ��� ��. � � '-�. :. .�. vati ��� , , : � '; . ,- ;,� , ,� � ,; t . _ y.a� „ . : -. . .. , _ � . , , .� . . . ..,- �... . .. ,.....w . . t�...,..�. �i�h• . " ... . . . .. +�.YabK�„ i .. . , 1+LL. �� � _ C1TY PERI�[1T Nt�, . `,.. _ � GENERAL P'ERMIT $a�� Y �ITY tJF ORON4 � � P.O.BOX 66 Date //F� � /�'����� ;^'; � CRYSTAL BAY,MINNESOT'A SS323 � � d�`; � (b 12)473•7337 ' �""e � Addreu � �;�� q � r., �. Contractor Addrep � ; City Licen�e No. �� St�te Licen�e No. � REMARKS AND SPECtAL CONDITIONS �F' 4 ' y ' N '. � f:�' 4y 2 FEitMIT TYPE AND FEE: I� NEW ❑ADDIT'lON ❑REPAIR ,��'�.` � ��; lnside Plumbing(Nfixturos_.) Fer S_..._ Water We11 p�� s��� �` � Water Mtter(Size___) Fce S_.____` Mechanical EquIpment Fe� s_.._,,,._,,.,,,,,,, ` , Meter N ,•�.. # Remote#� Moving/Liftin�8uildin� Fee S_......,.,+ ,�';;; , � Land Atteration(F.xcavation. X"` Municipal WAter Connection Fee S Fe� �_,.,_..,.�,,,,,,,, T � ❑Copper ❑ Gradin�,Fitling,etc.) 4� t` Municipaf Sewer Connection Fee S _ F�� Y4k . _ Fee 5,,.,,...,�.,,,,,,, n�� � �PVC ❑Cast Q_,__,_ Sprinkkr System(Fin) Fee S ��� MWCC 5AC Ch�t�te Fee S�-�•� ther: ���,�` � ���� Fee S.r.r........,,.r. �, . � On Site Septic System Fce S °: ARerthe-fect InvestiQation F�e S.,..............,. �.� ; � :: ��' � 3 " ACKNOWLEDGEMENT �` � TOTAL �� � Y.` � Y�.4�w.►�+.e INM.b�eLna.ber.e.c.toe er u�a uuUae a�':: t r•+�..��, r.�aa� ««rw�e• o� .p �.�+� a�o.M.asw, � b»n�, �rtlow� m npuf»m�aM ��ltMM �bow. Th• � Y c'� ►��«e+�.a �a.�a. Md +�r*.� unA�r 1«+.ler or ,.� State Surchuge: Fee S °' Uut tlW Mtmlt N �Metb WnIMd tn wop� b tA� �rork, � �altNts a! Yr�eowrp�wl �IMA: Wai tlW �w�nit deN � ; w � •�e pwN �as wYEwt� 1e d� �arlt er �eWlua� «�uyrlwt Total Amount Prld to City F� ���:X� �wM O��t �Merdit �rd M�t YW p�npl/ doM no1 �,'�. � O�u! w�.�rlb b v1ol+rN �wf Ftevlden ef �u� Cltr f,',, . f rsdll�nM et it�M IiN,iuMi M»iltrtl�n. A11 rreN�AW M ': Ot� Is H#t eow�p�M wflh W Gip' ordLqO�N,brUddy �ti, , ..e« .a� r..,r a..,w.�e r.,w.r«�.. .�� �,.n .. '1'hiB permit ia noi v�lld until the proper Pbe L paid and ��.. .utMat a i�.ara�, www�st r. rrf..rea M N. d��. � �. . . ��� � �e 1� 11�MMpM �17�N M OM�1� it i=appmreci by�euthotitQd C1Ry OfYkid. -�.*�e: � . 4t/ M`!i!'f iMtA� M hiM � Vld0i1M � Ylf N�{�yy p( � �a : tY�MIIN{, x t t� �` ' ,:r s�k � ; s• rr ol' pri �nt �, `. ,� ,S3�yn�cur��1"�'ity C�tf�cia.► ���,�� ; r � t� �, .�.,�-,,._..�..��.. ����ta'..tY.,�� ,•� �,..,"� .; � *,�_:: •� ,.� ��"":; � - �k � 1 � f ��,� ��� u..._ ���.,�w„�tiw_w ..�.y �:� . Cn�ls:1Y�—Rie t'sapy t'�►++ardU�actnr'�G'�psr �k-FlQanu�Ca�p� ��7c�rf—A�4�t��.xT:�a�t ��` � �� ��� � � � � � ��� '�*�. � �� �ue �_ � i'�a���� ,a„=� � -,.���.� �3�:���,�r;�' ��r i. �.Y��#'t,� ��'� A...:.. � .t� `x3 , 3 . . � � . p - � _ � �S �PP �' Y.. ' -i q «�'.�" '� � .,�� ���R{�� J- x f i_,yy � ,�, 1�� . .- r�� . . .... . . ( � � ���t��'�.��� b t.� �i A ,-�"�';�a, n �H� 9 i.�'�"�.iaA 1' �A",.