HomeMy WebLinkAbout1996-08-13 Permit, Septic System #008252PERMIT
MY 01: OFXM PERMIT TYPE:
2750 Kelley Parkway - PO. Box 66 Permit Number: SEWER & WATER
Crystal Bay. Minnesota 55323 cj08252
(612) 473-7357 Date Issued:
81TE ADDRESS:
Str3 FERNDALE RO N
CH
DESCRIPTION: — -
NEW SEPTIC SY'c,TEM
Sewer & Water Perrnit. Type NEW SEPTIC SYSTE
`--piper h Wat•pr Wnr): Type, RUSIDENC•E.
REMARKS:
FEE SUMMARY:
Base F a�, $100 . 00
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Trt•a 1
CONTRACTOR: - Applicant - � OWNER:
E;tlL.l.IVAS:''=• OTILITY ':.ERVIC:E 547:'4:?0I? SPENCER GALE
:3b5� ► HWY 101 8 50:3 FERN+TALE RO N
WAYZATA MN S--3 ,1 ORONO MN SF::91
;12) 473-4300 476-1042
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AA!u AGREES TO 00 ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
L ORONO ORDINANCES AND STATE CIF M I NNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PEMATEE SIGNATURE
iSSUEDBY SIGNATURE
NIIIIIIII