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� ;� <br /> . .� � <br /> � 1 <br /> /"O ��� City of Orono oR c USE ONIY <br /> / � �� � 27bOK eliey Parkway Date Received:�� �� Permit#'�/�� ���G' <br /> � Crystal Bay,MN 55323 ��� <br /> � � � � � (952)249-4600 Amount S �'• <br /> 1 � �� � <br /> `��`C.tifl����� <br /> �.-i <br /> CITY OF ORONO —SEPTIC SYSTEM PERMIT APPLICATION <br /> (All permits rnust be approved by the On-Site Septic Manager andlor Building Otficial) <br /> Job Site/ Owner Information: <br /> Site Address: 2235 French Creek Circle <br /> OWnet': Stanford Clinton Jr Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: 206.s�9.7768 <br /> Contractor/Applicant Information: <br /> Contractor/App.:Kothrade Sewer, Water& Excavating ContaCt Person: Pam Kothrade <br /> AddreSs: 12059 Whitetail Ln State License #: #0192 <br /> City: Hanover Zip: 55341 Expiration Date: <br /> Phone: 763.498.8702 Alternate Phone: <br /> TYPES OF OCGUPANCY <br /> � Residential ❑ Commercial ❑ Other <br /> PERMIT TYPE AND FEES <br /> New or Replacement System $400.00 S400.00 <br /> Repair Existing System 100.00 <br /> (Tanks or Drainfield) <br /> Totai $ �400.00 <br /> 1 /2 <br />