HomeMy WebLinkAbout1996-08-29 Permit, Septic System #008292PERMIT
" CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66
Permit Number: ,EWER WATER
Crystal Bay, Minnesota 55323
(612) 473-7357 Date Issued: 008292
SITE ADDRESS:
1570 FOX ST
LSV
P_ T_ N 02-1 t 7 :— C)t)C)7
DESCRIPTION:
NEW :: EF'T I C: SYSTEM
Sewer & Water Permit. Type NI:-W SEPTIC SYSTE
Sewer & Water WorE:: Type RE:':1DENC:E
REMARKS:
FEE SUMMARY:
Ease F e $100.00
Surcharge----------1-K)
Total Fee $100.50
CONTRACTOR: - App 1 i c ant. - OWNER:
PATNCIDE BROTHERS 54287393 REYNOLDS STEVE
23200 109TH AVE N 1570 FOX `3T
ROGERS' MN 55374 ORONO MN SS7391
(S 12 ) 425-7:39:3
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THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO 00 ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT-PERMITEE SIGNATURE
ISSUEDBY SIGNATURE