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HomeMy WebLinkAbout1991-003607 - water connect ERMIT � ��� ����� PERMIT TYPE: : �3rown Rd. South • P.O. Box 66 ''�����i �+ WaTEF► Permit Number: t.ii.�:;r,i�7 Crystal say, Minnesota 55323 Date Issued: ��: (612) ,.473-7357 �")`:� `��'�� SITE ADDRESS: -�f���_� ��'��C��•}�1�l�`� (��� -1�� �'. � . �i. : �7—� �i—�ti:�—�::�—�.1C�:c"1 DESCRIPTION: ����ia��t �r Wctf•�i' �'�i'��ti i_. �'�'c,� �:�i�TEf� ��l����liJc��TI����+1 �_�CW�1� i{ �c'{�•�l' ;,4ii s•' • r.;_ r�r,-• r� '� s �r�. �y,--� r��._��r�f��•�-- � F"����.�� r���t�,K i .n�,�'� °,±�� � � �#`*�!"�+�``fi fi � - t��h` "' � i �'�° �h�m 4 rvrN � ��"� �- � + �,���`��r._+kW�y� ���e�r�k��+:�.'��.����� �� +m ��� �, Afi�'M"�N r,.� ,�. ,�!���� r.G -. x �r;�,. Y� ra �F���� . �'"� a u`�v�" '�4o-����'r�'��� ��'�„�" . �✓� a. s� �- r '�� � w ,��. &�a � ti . r�� 'hsaF �rn �'d d� � � '� »�����'� ��,�`�� � y`: �i � '� ,€ .� � "'�.� � 7� �, i�"'���� ���� �"��'�� z� �,� �� ��r�'�°a't���T �t f i ti� i�i1f� 1���»�°�`ti�,���_ ����� � ���� ��� �� 4�t =::'7�t�'i�� i tC:�T�C' ���� ,�� �.� ���� f x� rF��, r7n�, �4 � i� sir � � �_� t 14L Ij r �--., "'i�r =i � � � ��ib g �_�� P f� �S il�1� �7 '�1t,� M1,� " . '� �• : 1J1'..3�.lV �' �` �� �' ��.w'�`�r w��+,�.�. � ` . ,„�+� � „���wr�, f�7 f'C'd 'si! �;l11 , s +r n� i" � d�� � t .i. v�n ,rv. v �,�'€F , ,��' y �. '� s d u '�'�M�r�'�44�'�a: � „� ., w�`�� �'"�- �; v a,ay�������� �'�. �'�,�"�'� [ ,�'�.a�«'���„r..�..,�' �, ;,. .�'a, ... z,.�'.x wthi� �"i 1L.G' ' �► REMARKS: �,1 � :� FEE SUMMARY: ���se ��e �:::i�. �r�:� ==:u3�c i-���•�� ---------_�.��'? Ti�t•�i Fce �:;t� .�t� CONTRACTOR: -- �F���1 �c a�►t. -- OWNER: LAR:�tjiV F`L�G I I4iC: �'4.'?77���3i 3 '.=�HERM�� C:�t�d`.=:f :�:i�'�c, 1��P�iC� L� ;d W i:�.�.i y L I�'I hIC;�;T+��N r�Vt: ANIJ�iVE�: MN ��=;t�:; WAY�ATA t#N ��:=°=-�i t�.l�'� ��:-7�.�,ix il-i�. �1i�ii.fc�i���It:i�4�:.�� i-�F�ri�E�'t' ;=.�:�,j�3�''w:(�:=: �'��:���.':�:=:Ti��iS i�►=� ��ii�:::�' i:�� Fff.-�r��iL I��'s='i�_ivE����_}-.� _ ,r-_• r t �-}-<<r-,-• ,�f ! '3 4`i 2:' t—: ' ' i —•C' 7'.f..' ' ' '_��-'cs�i Y=i c=� i=`t�a�J ;-a�,:3�...���• 1�_fi ��(_t ;;t__;.� �,+Jt�E•.r••. �f�� =��i�,1?�T �:_i i;'j�-'i.��i�'`a;.��:. 'n's. � ;�1 Hi_�__ {-i'€'. _.. s. ,� ..�.r� -.-�-,-:-�- s •e h�:-• r•,-� r•:��-t� �r r� �i�;tt�i�lt_� `��°�i�i�hf��f.r.•=: r=���i:� �� a r--� ��:. �_�N i�I���t�i�-.���i_1 i r� E:,t_1��_�i�;,��, :��_�[.!E r.�c;t, , �1�f`zE��l I'_:. � � - ,.,---_ � �� C.J APPUCANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ' �Y+F�4�Y �'ERMI'T5 L.��.��` i.d'i L:` .'v'. .�aI i4 h 4t Bo� b6 i 1��5 ��,� �rowr, �� � Cz-ysta3• Fay. MN �532� �wK*�rRwk�h***Jt**Ak***�k�t*hir*1�***wtM � �#� ers���*tc* a ,aaa� ��ks�tr�t�rw�*ir*rr�.��v�ir�Mir,�R�t S'rexsere"Y Is�st:�eti�o� utility r-�rmit� AY ir�3.t 1 ;�r iC1 �ers�n et eT�e Cxey off�.csg. �.. YOu mey P� �' � t, thP UYtt�9p t+t�d hn11dl9ng f��� showtt tial�w, i. Met1 X a8 �n a��1 icit ian� e��'� sub�eGt � �' Permit caf:a� MrilY b� scn: i�y Yeturr me►il the e�mo clsY r�e applic�tinr Sg xeceived. 3. pfr��te ar+� nnt vaii� �3t�i�. yot� X'��ive a j►�ez�tc csnrd. . 4. tr'ork n.:iRt nat bPrqi-� �?nleeo the �,ermit c�rd ia tt�re►ilable� c�n r.;,e i�� �ite. 5. util�ty cannect�ar. yer�ri�6 m�+v bm lt u 4;�Q,�S�1� fOr. utility� Bt�� nag""t�Lil� �cce��or,s. 6, Cor:tn^_t tt<e Pub) i^ we�yQ "��p8� . e ( ��$� apprp��,�a2 �f th� Da xo� ExCAVAT� �h ahY ����ET ��� �'c� h�T ;�.r nr�� MAiN +�ichou� ��ie a rav�z, Publi; Wor�s Ge�artment, Tssaan^e Of $ p�rnit doee nb� gr s�t� 7. Ai] work muet be inspeit�Qnbe��oreFiC���r^overbQ��dCe�l�g47�J•7357$' $. All Z4 hoqt �nt�C�+ 7�M'�1i3.tCd= ; tr*,t,4�K�,lA***�t!*R*Y��r#��*kerrrw �lr�***VtPrxir�r*1r�R11��R�ttr**tr#M��I**x�A **,�wfw.r�r*** �r*�.�t - � �'��1 T+ ��_,a_t--- ' l�; ;,,.� '�(�,+�`=: t� ' �t /rt _���..-- ---�---�"_'.�.--�— �70A S I TE ADU�S S t � �_,,�, .---,--•--# „ 'Res���arn�1 " +.Oi[�mer�ia� Occupancy Type: _�.�,. -------- � � � ,�, i ' ;'�;�.�,_� Phene No. i - - - -- AA�, a �. , ,�.,�:�,�,`:'� r—�- h ---�---._._.._-- - UWLVER' S N . ,_ • _.._ . c',_ ,.y s � _ __,_ __-� Msi.ling A�c�xess s t �-..�-- ""'� �.w- � NAME ` ,, t . ,� � '� f-,� [ =Y-�„�! Ht16 . �hbi1�: '�" � -� • ' "r Cbb1'�R.�C t'C.�R � $ ���-r,��"wo.'� � �_�.C''��.� C i Y . 'f� �'_ Z i.�� r �.$��� ! MaiJ s i.g �.�drw�s: ��- �� � ,��_���-- Y � ���� � rk*�*#�*R *t#*�****,t� wrr i �r**�xk�iti�*�*tesrtic`�i'�;r�k�t�%#ie�i,r�#* ** �N�t#st�� t PBRM�'t` fiY�� ANU Ft�& ���Tx{3� , MITNICIP1d,Y. SLWER GC7NNr�T1U1N : '� ,,��; , �.{; ��: �t:�b ! $—;�-,,--�-_ �aSt ix�n ! in�;h�s ; �t�a�ea�a� Y1"� � c-,n s�►r:� fi�� , i _ L pipe sizes _; �. �, c ^r . � u:;" � �. ' ��w�r ��rmi* d�p� f cat,�o�6 �� . es� S Fr C (�f:d z�� � $a 7 �. � �` rr�u� t. E�: r r . + 4+�,�. �,� ��S�tl H�• �re�»id. I f nct pz���:�a ir1 , a �c:����r :�^nn�_ t ��n pe�m� ?j0 -c9-a WATER I.VPIl�L7�L�1JS� � Yfi� �•.' �lE`t� �f '��'i� :�' �.�__.--�._ t � _�.mm��- MQNICTPAI� . � er , eth�r _ ���,�P s:Ze �i�;t�h�8 r T�*�r�t�: ,. ����' r � _----- --�- WP.Tk?+ '`g �'£R� ^'t�:�t : � � � -►���a t�F:; �ri�' � � :a f f0� F�t i .�y'��,.�.� . , � ,..�. ��5 . 28 > ( �tFi" t�et��"s = $]_.'�i . .��� ; ?.>4" tT�et;�r� � � W�ter �r►e�er� �nust b� �t�� and ��a��� i,y t�x�na Wat.e� Dep$r.��snt �473 �3�� ) upon corap�etian of �etez insta� l�a��:an� � � `r�rc� ?��`s� r:f�el� �r�' ��iptiC �ank&� _ ?`+ � ' REQIIIR�;i� r^,1rilmum �etn��:�. line � Zc� � R��r.:xLr.� se�nd�-�= a a��, s�a��r� # �x��*�*x��*«�*��***�� ��t*w,� k*x �*r� � K�*x*x* ►t�� a ,� �c .� ti� �lkfi41k1t�*a �,c*rea,�fi��**,►*,rw�. � _...� 1 . S�zbt�ta� ^� �boi�a t.�r^ � •_ ��:��,��:��tf_:=� .�--.�---.�, ---- - , 2 . 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