HomeMy WebLinkAbout1995-09-29 Permit,Sewer & Water Connect #007398refty OF ORONO
2750 Kelley Parkway - P.O. Box 66
Crystal Bay, Minnesota 55323
(612)473-7357
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number: c;Mk:h WATT
Date Issued:
1685 '::t]NGORDIFt ST
(-H
P. I . N . 17 -117 -23 -t1 -0x7,2
DESCRIPTION:
SEWER/WATER RECCiNNEC:
Sewer 6 Water Permit Type !-:.EWER & WATER
Sewer h Water Werk. Type RE's;IUENC:E
CIT v Ifrr' 0R0NG
1j 1 kc, N
REMARKS:
LLL.L Vi'i '
VA LLN .50
G1 c TI '7A. 50
FEE SUMMARY: 434.64:;: L"01 R01 T11:4
Base Fee $7('.). 00
Surcharge ------- -1-.Q
Total Fee $70. 60
CONTRACTOR: _ EjPp 1 1 c .3.Il t
2300 CHATEAU LA
MOUND
472-22"'.3116:
f,
OWNER:
E:t JRTC IN
1EISS
i IF.' It;I-1
MI►:E
CONC ORD I A ST
MN SS391
91
THE UNDERSIGNED HEREE:Y REQUESTS PEP.Mi!--;S10N TO MAKE THE REAL IMPROVEMENTS
`:.PECIFIED AND AGREES TO DO ALL WORK IN =:TRICT COMPL-IANCE WITH A1_L CITY OF
CIRCINC, ORDINANCE{* AND '3TATE CiF M I NNE C11 A ESU I LD I NG CODE REQU I RE'MENTS .
L
APPXAP PERMITEE SIGNATURE 67 ISSUED BY SIGNATURE J
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