HomeMy WebLinkAbout1987-08-19 Permit, Water Well #000070PERMIT
CITY OF ORONO
1335 Brown Rd. South • P.O. Box 66
Crystal Bay. Minnesota 55323
(612) 473-7357
SITE ADDRESS: 416U FOREST LAKE DR
DESCRIPTION:
FEE SUMMARY:
PERMIT TYPE:
Permit Number:
Date Issued:
.:ewer & Water Permit Type WELL
Sewer & Water Work Type RESIDENCE
SEWER & WATER
000070
08/19/87
Base Fee $.00 WELL-------$QQ-LS1-
Surcharge ---------- Total Fee $30.50
Subtotal $.SO
CONTRACTOR: -- Applicant -- PER:
STODOLA DON WELL CO 4'3:3$2111 AN ., J I M
162,06 HWY 7 4360 FOREST LAKE DR
MINNETONKA MN S5345 MOUND MN SS:364
(612) 938-2111
REMARKS:
114E U14DERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IfIPROVEMENTS
SPECIFIED AND AGREES TO 00 ALL WORK IN STRICT COMPLIkNCS WITH ALL CITY OF
L_ ORONO ORD I NANC:ES AND STATE OF M I NNE SOTA BUILDING CODE REQUIREMENTS.
I
APPLICANT PERMITEE SIGNATURE ISSUED SIGNATURE