HomeMy WebLinkAbout1995-07-12 Permit, Water & Sewer #007078PERMIT
CITY OF ORONO
2750 Kelley Parkway - P.O. Box 66
Crystal Bay, Minnesota 55323
(612) 473-7357
SITE ADDRESS:
?6':10 Cf -
P. 1 N.
a
P.1.N. � 04--11-/--
DESCRIPTION:
PERMIT TYPE: SEWER & WATER
Permit Number: CiCi707S
Date Issued: 07712755
::ewer c4 Water Pe),mit. TYRE NEW '=,E_F' T Ir: =;Y'3 T E
Sewjzr & Water Werk Type} RESIDENCE
REMARKS:
FEE SUMMARY:
Rase Fee $100.00
Surcharge ------_ _$-59
Tc. t.aI F e a $IOC►. so
CONTRACTOR: AF>tp i i c a) -It. -
CL'jVLR ;i i Ll_ COMPANY INC: 572 7 ? ':
BOX
SHAKOPEE MN
tE121 7��'3-%155
1313300040
0111?
104.00
12«00
01 CM
.50
Ctifpt' it
301.50
RECEIPT- THANK * DU
#344450 C001
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OWNER:
is I OEN TCINY
7h,() C.OUNTRYSIDE UR W
MN 55:356
THE: ONDERS I GNEL) HE' F:Y REQUESTS PERMISSION TO MAt::E THE REAL IMPROVEMENTS
SPECIFIED ANO AGREE:-. TI) ()0 ALL WORK IN STRICT C13MP'L I ANCE WITH ALL CITY OF
URON(i C+RD I NA.NC.E: S AND E TATE CIF MINNESOTA BUILDING CODE REQUI REMFNTL. .
APPLICANT PERMITEE SIGNATURE ISSUED By SIGNATURE