HomeMy WebLinkAbout1987-08-05 Permit, Sewer SSAC #000015PERMIT
CITY OF ORONO
1335 Brown Rd. South • P O Box 66
Crystal Bay, Minnesota 55323
(612) 473-7357
SITE ADDRESS: 1055 L:'-taiWN RD S
P.I.N.: 10--117-2:3-24-0003
DESCRIPTION:
FEE SUMMARY:
Base Fee
SAC
SAC: %
SAC Units
Total Fee
PERMIT TYPE: 'SE0015 WATER
Permit Number 0c:/O5/87
Date Issued
Sewer R Water Permit Type UNDEFINED
Sewer w Water Work Type RESIDENCE
$.00
$525.00
100
-------1
$525.00
CONTRACTOR:00000000 Al WR: pRANDOLPH
085 BROWN RD S
AYZATA MN 55391
REMARKS:
j— THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT C:OMPLIANC:E WITH ALL CITY OF
L_ ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
- -�---
PLICANF+ RMITEE SIGNATURE Is/DBVt1GNA7TtRE
F