HomeMy WebLinkAbout1996-05-28 Permit, Septic Repair #008010PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66
Crystal Bay. Minnesota 55323
(612)473-7357
SITE ADDRESS:
4SS
CH
DESCRIPTION:
PERMIT TYPE:
Permit Number.
Date Issued:
Ff:RNOALE~ RD N
REPAIR '_.,FF,T I G
'_ewer & Water Perrriit• Type tj;;N LD ' OR TANr::
,-;ewer& Wat•rr Work Type RF-"-IPENCE
REMARKS:
FEE SUMMARY:
Fuse Fee $50.00
'_urchar�e ----------*-,;Q
Tc-t•al FFrf- $50. SO
:.EWER b WATER
r►t).;o10
CONTRACTOR: _ Applicant. - OWNER:
'•lll..L IVF,N''_• UTILITY ':FRVIC:E 547;4?(:)C1 DAHLE:ERG _TE:FF
366E HWY 101 455 FLRNOALE RI) N
WAY,'ATA MN CIRCINC, MN 5S---:.-q 1
(.612) 47:;-4:3 ►() 449-0555
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TCi MAKE THE REAL I MPRC IVEMENT�;
SPECIFIED AND AGREES TO DID ALL WORK. IN STRICT C:F-IMPL I ANCE W I Th ALL CITY OF
L CIRCINC I ORDINANCES AND STATE CIF M I NNES-OTA E:U I LU I NG CODE RECAU I REMENT'S .
GANr PERMITEE SIGNATURE ISSUED BY SIGNATURE
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