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HomeMy WebLinkAbout1993 - 005210 - SAC only PERMIT CITY OF ORONO PERMIT TYPE: SEWER & WATER 2750 Kelley Parkway • P.O. Box 815 Permit Number: 005210 Orono, Minnesota 55356-0815 Date Issued: 0E/03/93 (612) 473-7357 SITE ADDRESS: 332 WFSTLAKE ST LSV P . I . N . : 05-117-2 -23-0012 DESCRIPTION: SAC ONLY Sewer & WatPr PPrmit TypP SAC ONLY Sewer & Water Work Type RFS I nENCE CITY ORONO FINANCE OFFICE 1322600000 01 t;EN 750.00 REMARKS: FEE SUMMARY: Base Fee 17c0 . 60 Total Fee $750 . 00 CONTRACTOR: CMIRi CH -Jr :T Applicant - BLAKE At(F ORONO MN 55356 (612)47S- 879 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS . L_ 4fre, APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE