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HomeMy WebLinkAbout1994-05-16 Permit, Sewer Connect #006083PERMIT i vOITY OF ORONO 2750 Kelley Parkway - P.O. Box 815 Orono, Minnesota 55356-0815 (612) 473-7357 SITE ADDRESS: 4i►:3t:I I=i._!'*1 i :T B P . I . N . ; 06-117-2C:-41-0()7:'t DESCRIPTION: REMARKS: FEE SUMMARY: PERMIT TYPE: Permit Number: Date Issued: Sewer & Wat-er Permit. Type SEWER CONNECTION Sewer & Wat.?r Work Type RESIDENCE BEAse Fee $rid+ . UCH 'surcharge _____ .1..59 To '. a 1 Fee $:3S . 50 SEWER & WAIEP o0 086 (").L,/16/S4 CITY OF tik 0 f I,'V"E OFFICE 1313300000 # 01 CEN 35.00 1 «.2100000 M 01 CEN .50 C*ff TL 35.50 RECEIPT-TAWA' YOU #303860 C001 R01 T14:14 0511 SM CONTRACTOR: - Applicant. - OWNER: QVICKWAY EXCAVATING S477S077 ROSCO GEORGE BOX SOS 40*,- > ELM -i ROCKFORD MN SS37.3 ORON] MN 55:356 (6121) 477-5077 THE UNDERSIGNED HEREBY REQIJE':;IIS PERMP::=;IiIN TO MAKE THE REAL IMPROVEMENTS SPEC I F I FO AND AGREE_ TO D:i ALL WORK* IN '= TR I CT COMPLIANCE WITH ALL CITY OF }Ik.INi_i CIRD.1 ANCES AND STATE OV MII.lNE-.':;I:ITA BUILDING CODE REQUIREMENTS. L ,D, 0 AMICANPERMIt IGNATURE ISSUEDBV SIGNAIURE J