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PERMIT <br />CITY OF ORONO <br />1335 Brown Rd South • P.O. Box 66 <br />Crystal Bay. Minnesota 55323 <br />(612) 473-7357 <br />PERMIT TYPE; sewer & water <br />Permit Number: 000033 <br />Date Issued; 08/06/87 <br />SITE ADDRESS:560 DEBORAH DR <br />DESCRIPTION: <br />Sewer & Water Permit Type <br />Sewer & Water Work Type <br />SEPTIC SYSTEM <br />RESIDENCE <br />H I- <br />‘ • % ' > -" <br />^ . , <br />FEE SUMMARY: <br />Base Fee <br />Surcharge <br />Subtotal <br />$.00 <br />$50 <br />SEPTIC SYSTEM <br />Total Fee .$ZS-.QQ. <br />$75.50 <br />CONTRACTOR: — Applicant — <br />INGELSIOE ENGINEERING 54791869 <br />4920 HWY 55 <br />ROCKFORD MN 55373 <br />(612) 479-1869 <br />OWNER: <br />40LM ARNE <br />H405 8UD0 AVE S <br />1APLE PLAIN MN 55:359 <br />479-3301 <br />REMARKS: <br />PER MPG'S REPORT <br />THE IWDERSI^CD fCREBY REQUESTS PERMISSION TO MAKE THE REAL IIIPROVEMrNTS <br />SPECIFIED AND AGREES TO DO AU WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br />ORONO ORDINANCES m) STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br />i' <br />APPUCANt PERMITEE SIGNATURE