HomeMy WebLinkAbout1994-03-28 Application & Permit, Water Connection-2Pgs #005975CITY OF ORONO PERMIT TYPE:.:,EWER & WATER
2750 Kelley Parkway • P.O. Box 815 Permit Number. "t'375
Orono. Minnesota 55356-0815
(612) 473-7357 Date Issued:
SITE ADDRESS: F: RN0A1._E GRl= EN
ASV
DESCRIPTION:
I REMARKS:
I FEE SUMMARY:
WAI ER CONNECTION
' ew,_r & Water Permit Type WATER CONNECTI.
'..ewc-r & Wat•rr Work: TypE• RESIDENCE
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at a 1 Fees , �, . S0
- A o t i ram„ t --
CON�MfAC1�OM:! ir[; I NC, 5:,ti 4:3E,7
r;yiia WINNETKA
E!R1--1C1I`LYN PARK MN 5-AA <;
(512) 493-- ,474
CITY 6F 61AQIn
tdt330MW �f Ili'
12� d.S.M
as cm .2
R;AR� IrIN HOMES
5 FE:RNDALE GREEN
CIRCINCI MN 55: '=
THE: UNDENSIGNED HEREBY REQUEST:: PERMISSION TO MPKIE THE REAL IMPROVEMENTS
SPECIFIED ANC) AGREES TO DI i ALL WORK IN STRICT Cut-11FI_ I ANCE WITH ALL CITY OF
ORONO 0kD1NAN(E.': AND r"TATE: OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEESIGNATURE ISSUED BY SIGNATURE