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, <br /> City of OFOR CITY USE ONLY <br /> !:03ko PP.O.Box66rono <br /> 2750 Kelley Parkway Date Received: f7 <br /> A . x Crystal Bay,MN 55323 Pemirt# ,A/ fr-ti n j g <br /> �� r , Phone:(952)249-4600 '/ <br /> 7 f.HORt Fax: (952)249-4616 ''Appmveii By: <br /> Amount$: I <br /> CITY OF ORONO-SEPTIC SYSTEM PERMIT APPLICATION <br /> (All permits must be approved by the On-Site Septic Manager and/or Building Official) <br /> Site Address: 5 's- ©e e His e v J,q,e,i & <br /> Owner: 3 !3 Home- S Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor/App: /2/ �U'r''9T'0 S�P� �S l S h ES o-./ <br /> Contact Person: <br /> Address: 02 -Y / E 5" ww State License#: ..36S`?) <br /> City: Fe1"1'Vc-1 S Zip: S-7-0-1 d Expiration Date: /°- -5--/7 <br /> Phone: b 1 Z"35—(P — ? 2c O Alternate Phone: <br /> [Residential ❑ Commercial ❑ Other <br /> Tanks: <br /> 4 Precast Concrete ❑ /Fiberglass E1 Plastic Ci Other: <br /> Number of Tanks: C./ <br /> Size of Tanks: 3"10p6 I- /S00 /4-C+ <br /> Type of Activity: <br /> El Trenches [}.Mound ❑ Pressure Bed ❑ Chambers ❑ Holding Tanks <br /> ❑ Pre-Treatment ❑ Other <br /> NOTE: Provide an As-Built of the system before the final inspection. <br /> A 24-HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. <br /> Page 1 <br />