HomeMy WebLinkAbout1987-10-06 Permit, Septic System RepairCITY OF ORONO
1335 Brown Rd. South • P.O. Box 66
Crystal Bay, Minnesota 55323
(612) 473-7357
F SITE ADDRESS:
I. N. ' 05-- t 17-2:3-14-004.3
PERMIT
SEWER & WATER
PERMIT TYPE: 000274
Permit Number: 10/06/87
Date Issued:
DESCRIPTION:
Sewer q, Water F'eerriilt. Type DRAINFLU OR TANK
:;ewe+- a Water Work: Type RESIDENCE
FEE SUMMARY:
�.0i� C-:EF'TIC: SYSTEM
Ease Fee $30.50
Surcharge - ...... --A-5 Total Fee
Sub to to 1 $ . 50
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( iy R QJT 54461495
PO BOX 219
ST BON I FAC 1 US MN 55:375
(612) 446-1495
QVWOER: STEVEN
c100 C:RESTVIEW AVE
LONG LAKE MN 55.356
( E-i 2 )476-2161
R F4~f 4MK WITH HIGH WA TCi: AI -ARM - SITE APPROVED PER MPG 5 FEET FR13M LOT
LINE
T HE: UNUERISIGNE=D HEREBY REQUESTS F'ERMISSICIN TO MAKE THL UAL IMPROVEMENT'S
f� SPECIFIED ANO AGREES TO 00 ALL WORK IN STRICT COMF'l_ I ANCE WITH ALL CITY OF
OG:ONO ORDINANCES AND •`_:'ATE: OF MINNEC:CITA BUILDING CODE: REQUIREMENTS.
APPLICANT'PERMITEE SIGNATURE ISSUED BY SIG ATURE