HomeMy WebLinkAbout1999-06-18 Permit, New Septic System #011567r -r
CITY OF ORONO
2750 Keiley Parkway - RO. Box 66
Crystal Bay. Minnesota 55323
(612) 473-7357
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
. .
■' *«*SEWER e. WATER
011567
06/18/99
SITE ADDRESS
94d BROWN RO S
CH
P.I.N.: 10-117-28-12-0004
DESCRIPTION
NEW :r.EPTIC SYSTEM
Sewer ?< Water Pernut Type NEW SEPTIC SYSTE
Sewer Waier Work Type RESIDENCE
REMARKS
FEE SUMMARY
Base Fee
Surcharge
Total Fee
1100.00
I AO
$100 ".AO
s-iVC.Tm
CONTRACTOR: - Applicant -
HAYES EXCAVATING S4791762
263 82N0 ST NE
MONTROSE MN 55363
(612) 972-3521
OWNER:
JOHNSTON ALEX
940 BROWN RO S
ORONO MN 55391
449-9936
I
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.-I
fE SIGNATURE n DV Cli^lkiATi IOCISSUED BY SIGNATURE