HomeMy WebLinkAbout1996-11-30 Permit, New Septic System #007578PERMIT
CY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323
(612) 473-7357 Date Issued:
SITE ADDRESS:
670 COUNTRYSIDE OR W
v
P 1 N. ; 04-117-23-12-001--3
DESCRIPTION:
NEW SEPTIC SYSTEM
Sewer & Water Permit Type NEW SEPTIC SYSTE
Sewer & Water Work: Type RESIDENCE:
!EE SUMMARY:
Base F, !e
SUrLhargt'
Trlta 1 F crf•
CONTRACTOR:
t! I L ;.. CCIMPANY
F:13 X 2.2 G,
E;=lra► IF'EE Mild
IL
$100.00
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W$100. SO
— App l i c alit- —
1, NC' 4 7 f' .: -111 C, C
55379
OWNER:
.;%'Y r IGEN CCI
BERKSHIRE LA
Yf',.O Off H MN 55446
WATER
THE UNDERSIGNED HEREBY REQUEST`.: PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL W13 tt; IN STRICT COMPLIANCE WITH ALL CITY OF
CIRCINi I GIRD I NANC.F 3 AND !=;TATE CIF M I NNF SOTS, E,U I L.D I NG CC:DE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE
ISSUED BY. SIGNATURE