HomeMy WebLinkAbout1994-09-09 Permit, SAC #006417rrJKMI 1
CITY OF ORONO
2750 Kelley Parkway • P.O. Box 815
Orono, Minnesota 55356-0815
(612) 473-7357
SITE ADDRESS:
1:{ t:-YGNE.T Pt-
04-1 17- :_:- 20011
DESCRIPTION
REMARKS:
PERMIT TYPE: '_;EWER h WATFR
Permit Number: i ►� in 17
Date Issued: i / i I / 94
SAC: ONLY
'sewer & Wa:.:_+- Permit Tye•- .-AC* ONLY
'Sew -, 04 Wat.c•r Work ryF,e RES,I[!E:NC E
CITY OF ORCNO
r NAVCE OFFICE
1«<600000
01 GEN 300.W
/?dEIFT-IhM'h' Y00
#313690 C001
.EWER HOOKUP MU'�T RE COMPLETED IN CAl-ENOAR YEAR THAT 'SAC FEE I' PAID. I±
±v+'I"� ►_'I.±tVEh is RE::PONE I BLE FOR PAYMENT OF. ANY IN SAC: FEE:.
FEE SUMMARY:
ease tree--------*=L't� s'�)
Total Fee:3rlc.yi►ii
CONTRACTOR:
IL
�y���p, — R�•(~• 1 1 C 2
"HMJt'_7l'iIjt 1 HOK
1: E+ CYGNET Pi.
IjRIINI i Mr1
5:3',6
THE UNDERSIGNED HEREBY REQUESTS PERM I' S [ ON TO MAK:E THE REAL IMPROVEMENTS
SPEC: I F I E D AND AGREES TO 00 ALL WORK: IN 'STR I C:1 COMPL I AN(.:E WITH ALL CITY OF
13RONO ►J D I NANCES ANO 'STATE OF M I NNESOTA BIJ I LD I NG CODE REQUIREMENTS.
IV
✓ APPLICANTrPERMITEE SIGNATURE
ISSUED BY SIGNATURE
I