HomeMy WebLinkAbout1993-05-06 Permit, SAC #005119CITY OF ORONO PERMITPERMIT TYPE: :EWER &WATER
2750 Kelley Parkway - P.O. Box 815 Permit Number SEWER
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Orono. Minnesota 55356-0815
(612) 473-7357 Date Issued: 0-6/06/_ 3
SITE ADDRESS:
145 CYGNET F'l._
LSV
P.I.N.: 04-117-23-22-0012
DESCRIPTION:
REMARKS:
FEE SUMMARY:
Base Fee
Total Fee
CONTRACTOR:
SAC: ONLY
Sewer & Water Permit ryPe 'SAC: I iNLY
Sewer & Water Wort:: Type RESIDENCE
$750.00
CITY OF ORM
FINANCE OFFICE
12122s00000 N
01 LN 750.00
CWCK R 750.00
RECEIPT- THANA' YOU
&71 M C001 k01 T14 *t
A4 iAL /87
OWNER: - Applicant -
BLOEMENDAAL ARTHUR
145 CYGNET PL
ORONO MN SS:356
THE UNDERSIGNED HEREBY REQUEST=, PERM I'=:=,ICIN TCi MAf.E THE REAL IMPROVEMENT:=:
SPEC: I F I ED AND AGREES TO DID ALL WORK*. IN STRICT COMPLIANCE WITH ALL CITY OF
ORCINO GIRD I NANCE�:: AND =.TATE OF M I NNE'=3C1T A BUILDING CADE REQUIREMENTS.
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67�
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APPLICANT PERMITEE SIGNATURE ISSUED BY: SIGNATURE?�� -