HomeMy WebLinkAbout1994 - 006069 - SAC only PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: SEWER WATER
;
Orono, Minnesota 55356-0815
Date Issued:
(612) 473-7357 CX-;/1 1/94
SITE ADDRESS:
36 4 WESTLAKE ST
CH
P . I . N . : OS-117-2:3-32-001E
DESCRIPTION:
SAC ONLY
Sewer & Water Permit Type SAC ONLY
Sewer & Water Work Type RESIDENCE
rrr' rir
1,1 I I 1.11 L•111.1111J
FINANCE OFFICE
1222600000
01
REMARKS: rum. TiAtt
VI/
1.)C-rr:roT—ruAidv VflH
I‘L..t.,1-11 I I nrttfet
74 77 S 4 T
V LVV.L at! !
FEE SUMMARY:
Base Fee
Total Fee $S00 . 00
CONTRACTOR: OWNER: — Applicant —
PArISWriLi_ACE
6.4 E S IL - E T
MN CS-256
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL. IMPROVEMENTS
SPECIFIED AND AGREES TO 00 ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUDDING CODE REQUIREMENTS .
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ...../.."Ge-4(