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4. PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> '•EWER <br /> 2750 Kelley Parkway P.O. Box 815 6 WAITER <br /> Permit Number: 00-5151 <br /> Orono, Minnesota 55356-0815 <br /> (612) 473-7357 Date Issued: 05/17/9_; <br /> i <br /> SITE ADDRESS: <br /> 250 TONKA AVE � <br /> CH <br /> P . I . N. • 05-117-2_-14-0028 <br /> DESCRIPTION: <br /> '_EWER CONNECTION <br /> '=ewer b Water Permit Type SEWER CONNECTION J <br /> Sewer b Water Work Type RESIDENCE <br /> 4.1 f tlr u foul./ <br /> REMARKS: 77 �'iff��('*('�Afjf��i�,jjyyi O 4i jjJ� <br /> iI13JVV{V00 �QrN 7 y� fl <br /> 1212122,00000 it <br /> �' <br /> FEE SUMMARY: k "y''jj" <br /> 1iLLLI)f��_—ji�{ ltr�J1t� <br /> r; �:�t-� f '7r <br /> i4v r r T <br /> Ease Fee <br /> Surcharge ----------I -ti <br /> Total Fee $35. 50 <br /> I <br /> i <br /> CONTRACTOR: - Applicant. - OWNER: <br /> DAY EARL W St SONS 24738403 BRIGGS GERALD <br /> 520 BR I MHALL AVE 250 TONKA AVE <br /> LONG LAKE MN 553S6 ORONO MN 55356 <br /> (512) 47:3-8403 � <br /> MEN <br /> TI7TG j� 3 EfkK �..: i �F'+ i I�''Sv i Few 5 <br /> V, �� �D .Lf,t3 t STF ta�q t' CMPI W11� `# , LLQ: C L fiY Y' <br /> Of <br /> -. 40V <br /> L_ <br /> 4jAPPLICANTIPERMITEE SI NATURE ISSUED BY:SIGNATURE <br />