HomeMy WebLinkAbout1994-09-12 Permit, Sewer Connect #006425j trry OF ORONO
2750 Kelley Parkway - PO. Box 66
Crystal Bay. Minnesota 55323
i612)473-7357
SITE ADDRESS:
CH
".I.N..
DESCRIPTION:
1
PERMIT
c" ,3Nl_,T PL
PERMIT TYPE:
Permit Number SEWER & WATER
Date Issued 0 rt 42S09/12/94
=:EWF ft CONNECTION
St-_,rer ?{ Water Permit 'type ::EWER CONNECTION
Sewer c, Water Word: Type RESIDENCE
REMARKS: EI T," OF GROW
E1,14,VCE OFFICE #
i ,S i J300000�
FEE SUMMARY: 00000
01 C EN .50
-ECK TR 35.50
,ltE4EIFT- r N�VAYOL'
Base Fee $:35.00 #�13800 C001 r?01 T14:�
Surcharge _----__- _I_!aQ 05?'19-: 4
Total FeeV-:5.50
LOiNTRACTOR:
- Applicant -
OWNER:
-1.86 & HTG
24 73S79"3
ANDLR'=:1:iN
HAKAN
! 880 1 /2 W WAY'ATA
BLVI?
1:3S
CYGNET PL
_ONG LAKE MN
55.'?S6
i RONO
MN SSL:S6
(612) 47:3-579'3
THE UNDERSIGNED
HEREBY REQUESTS
PERMJSSICiN TO MAKE
THE REAL IMPROVEMENTS
SPECIFIED AND AGREE'3
TO OIS ALL
WORK. IN STRICT COMPLIANCE WITH OLL. C. I YY OF
CJRONilt (if ,.[)I NPN(:[-'=:
ND STATE OF M
I NNESOTA BV l LD I NG COM-- REQUIREMENTS.
ISSUEDdV SIGNATURE,l�,
APPLICANT PE �ITEESIGNATURE