Laserfiche WebLink
GENERAL PERMIT <br />CITY OF ORONO <br />CITY PFRMIT N° 9041 <br />PO. BOX 66 Isle June 9, 1987 <br />CRYSTAL BAY. MINNESOTA 55123 <br />16121371.7357 <br />Owner _ Gary Printup —T_ __. \ddns 1261 Briar Street <br />C(xw&. w __ Don Stoodo/l/a'a well \dthem —__!5306 Hwy No. 7 <br />Ciw li�rw Nu. Mtka, MN 55345 <br />REMARKS AND SPECIAL CONDITIONS <br />Staff to OX site of well, <br />Contractor must submit copy of State -well- record to City offices <br />PERMIT TYPEAM) IFI W' <br />Inde Plumhing olimun. - r IV;: S <br />Water drier ISrre _- _ t Ire S <br />Mcicr 11 - -- -- - <br />Remllte = - - – <br />Mumulml W2Ill•r l ttnnti•utrn <br />❑ ('441(xrr ❑ — -- <br />111unkipal'-w%wr (•Imnlxtwxl <br />❑ IWC ❑ Cast ❑ _- <br />MN'CC SAC Chagw <br />On Site Spetk S%m m <br />ACKNOWLEDGEMENT <br />Ftx S <br />Fee S <br />fix S <br />I -c S - <br />ht taalnynd htrrin at►n.wMtlrt• 1—,rr .d IM IatlnrJ It+mu <br />a.lul..f at.tTuatt•all .I..tal ml..rn t— •mt• t.v.lnsrlt .. <br />rryun•tn+x• rnnm :., — lAt ttt k1.W1tn1 tu.k.tun1` NO ar — <br />tltttkr rentht.d btt that tht. rerm.l n Jrxdt hmaJ m..•r.• r,tM rtr► <br />attrtat .v mrr. t,ftna tr.. d..) that thn Irma Sas r.4 ryanl ant <br />attdn int e. S ...► t. atn t rtn uyt�nt f �irratr return aryrr nah anti <br />thal An r.•rma S.� nr,raM atallrrdt b,, twit ant pn — dant l nt <br />.wlamm-w Matr lar ndr.r. ftrilatme \n r r+l.lull fe tl, rtn.tnt <br />tt.atrdaantd% AN 1 a• .vtl.naakm t%AJww tt.ity and r. Ik-Akh <br />tlrrunmrnt nrulat.— and Jun M •44t.1 at am—ah* <br />.a <br />"Al.. I.t thr ('r1t Nhrn-tn ...rtk'trtl to. u..lrr.gnttr Jwft� 4t <br />ttrmr ant rtv►N�lt.-h:ntw 1rr. yr.d the .. r.Lt. dttt�Ihn rt•tmu <br />Signature of Applwin( <br />1 <br />1CC_ )! r_n <br />IITION ❑ REPAIR <br />%later Well <br />\krilanocal I•aiwpmcnt <br />I moatx Wixx1 Slltte <br />\hiring lifting Buildinp <br />land Atleratitm (F:uaWtatn. <br />Grading. Filling. etc.) <br />lkvign Retnw <br />Fire <br />Spnnkkr So,4cm (Fire) <br />(hher - - <br />Atn•r-1 lle430 Imv%uptilm <br />TOTAL <br />State Surcharge - <br />Intal x1riount NO it, l to <br />0 <br />❑ REMODEL <br />Fa S 30.00 <br />Foe S <br />Fee S <br />Fee S _ <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />FCCS_ <br />I -cc S <br />Fee S _ 50 <br />Fee S 30.50 <br />IN% riemi Is nett tand until the pntper fee is paid and It is appni%od <br />ht an autlxmml ( lt% Official. <br />Swignalu <br />F5�fw (It) OIr I 1 <br />C4xk 111nrr I kle OIn Caron- milk&'. Caton host Ftntlxr (uln Gil - Appllani.ltnt+p <br />