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HomeMy WebLinkAbout1992-03-02 Permit, New Septic System #004200PERMIT CITY OF ORONO 1335 Brown Rd. South - PO. Box 66 Crystal Bay, Minnesota 55323 (612) 473-7357 SITE ADDRESS: 474ri LSV P. I. N., :0- i DESCRIPTION: PERMIT TYPE: =,r wrh a wH i th Permit Number 004200 Date Issued: t,: i 02'/9 2 CREEKWOOD TR NEW SEPTIC: S' YSTEM Sewer & Water Permit Tyre NEW ' EPTIC 13YSTE Sewer A Wager Work: Type FNEc;IDENCE REMARr - ® rs�i+ FEE SUMMARY: Ease Fee $100.00 Surcharge ----------- _-__`�-15Q Total Fee $100 . SCa CONTRA(; I OR: -- App 1 i . .I'I t. - BAC:k:HOL EXCAVATING 547 110TIA ST C IGNE MN IL ( E.12) 4 2G.6 7 OB00000 01 CEN 100.00 1::22200000 01 CEN .50 CHECK TL 125.50 RECEIPT-THANti YOU i1236250 C001 h01 T12" OWNER: E. I DEN 0C114:_:TRUCT I ON 4F�5U CREEKWOOO TR OR+_ANC► MN 5�._:5'� THE: UNDERSIGNED E li -RESY REWE'ST L: PERMISSION TO MAf E i V;E REAL IMPROVEMENTS =1"'EC I F I EC1 AND AGREES TO 0► I ALL WORT--' I N STRICT C OMt'L I ANCE WITH ALL CITY 13F 4APPLI ORDINANCES AND STATE OF MINNEE:CITA BUILDING CODE REti1l1IREMENT`:. CANT RMITEE SIGNATURE ISSUEOBY SIGNATURE