HomeMy WebLinkAbout1996-09-24 App. & Permit, Sewer Connect-3Pgs #008411RMIT
CITY OF ORONO
2750 Kelley Parkway - P.O. Box 66
Crystal Bay, Minnesota 55323
(612) 473-7357
SITE ADDRESS:
I ()G51
CH
P. I. N .. 0 -1 1 i-t :-4 :,-C;i; 1
DESCRIPTION:
REMARKS:
FEE SUMMARY:
PERMIT TYPE:
Permit Number:
Date Issued:
FERNDALE RIB Id
SEWER CONNECTION
';ewer & Water Permit, Type ;EWER CONNECTION
':,ever A W-lt.er Wert; Type RESIDENCE
Ease Fee $3.5 . i;i;
S*urcrlarae -------- g C.l)
.;EWER tl WATER
6 0:34 11
CI9/L4/96
CONTRACTOR: -- Applicant - I OWNER:
THOMPSCIN F'LE'Ij 29332521 ST I C KNEY Re
15001 M I NN! TONKA INDUST RD 1065 65 FE RNGAI_F RD W
MINNETONKA MN SS345 ORCINC, riN F.t.::;';1
(612) 93:;-7717
THE UNDERSIGNED HEREBY REQUE'=:T' F'ERM I _`S I i 1N TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES T� � Di � ALL WORK IN '3 TR I CT COMPLIANCE WITH ALL CITY OF
ORCINC i ORDINANCES AND ' :TATE OF M I NNES'CITA BOI L.D I NG CODE- REQUIREMENTS.
L _ . _
PERMITEE SIGNATURE
ISSUEDBV SIGMA