HomeMy WebLinkAbout1994-11-03 Permit, New Septic System #006603w CITYOFORONO
2750 Kelley Parkway - RO. Box 66
Crystal Bay, Minnesota 55323
(612) 473-7357
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:11/03/94
SITE ADDRESS:
25S BROWN RD B
P.I.N.; 03-117-23-24-0003
1DESCRIPTION
NEW SEPTIC SYSTEM
Sewer & Water thermit Type NEW SEPTIC SYSTE
Sewer & Water Worl;. Type RESIDENCE
%
I
mm /M
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REMARKS:
FEE SUMMARY:
CITY OF QROHO
FltmE OFFICE iilimm------------a\
Base Fee
Sure I large
Total Fee
$100.00
$ RO
ilooTso
• V
01 GEH 100.00
1222200000 »
01 GEH .50
TOTAL 100.50
CHECK 100. OC
CASH .50
RECEIPT-'mK YOU
K31S260 cool m TOSiin
11/03/94
CONTRACTOR:RITTER EXCAVATING
7120 VERNON ST
ROCKFORD MN
(612) 477-S643
Applicant -
84773349
55373
OWNER:YER16AN CONST
27741 UNIVERSITY AVE Nt
ISANTI MN 55040
444-535::!
THE UNDERSIGNED HERESY REQUESTS PERMISSION TO MAKE THE REAL. IMPROVEMENTS
SPECIFIED AND AGREES TO 00 ALL WORK IN STRICT COMPLIANCE WITH ALL CITY Or
CtKONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
■iiilfe: _J
APPLICANT PERMITEE SIGNATURE
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ISSUED BY: SIGNATURE