HomeMy WebLinkAbout1997-08-05 App. & Permit, Gas Line-3Pgs #009258PERMIT
CITY OF ORONO
2750 Kelley Parkway - P.O. Box 66 P N 1 CAL.
Peremitmit M ���'�H2�8
Crystal Bay, Minnesota 55323 Date Io O'8/06/97
(612) 473-7357
SITE ADDRESS:
Ft-
1.1
DESCRIPTION:
GA'ci. LOG
1 GAS LINE INSPECT
REMARKS:
FEE SUMMARY:
VALI!RT I ON $`_d,y -�
Base Fee 11:35.00
Surcharse----------I—BQ
Tr:-t•a1 Fee $'T'..c r
CONTRACTOR: —EEpp.
PRACTICAL S : TEML; _;42�:�ti; '�. '� IL.�T1d�-k:Y ELLEN
14226 NORGEN DR 1900 FIX RIDGE RD
ROGERS MN .7A � I:IRIINC-1 MN S63S6
476-5875
IL
THE UNDERSIGNED HEREBY REo.UESTS TO MA}(E THE REAL IMPRI.)VEMENTS
SPECIFIED ANO AGREES. TO DID ALL WORK iN STRICT COMPLIANCE WITH ALL CITY OF
ORCINO ORDINANCES' AND CjATE CIF M I NNE'c;OTA BUILDING CODE: REQUIREMENTS.
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APPUCANI P ISSUEDBV SGNATURE +
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