HomeMy WebLinkAbout1987-08-11 Permit, Water Well #000047PERMIT
CITY OF ORONO
1335 Brown Rd South • P.C. 3ox 66
Crystal Bay, Minnesota 55323
(612) 473-7357
SITE ADDRESS: '24o
LCIT ; 004
K.ELLEY' S
C`R T N:_ � }
FEE SUMMARY:
PERMIT TYPE: '--.EWER & WATER
Permit Number 000047
Date Issued ()"/ I I / U
FOX ST
r-LOCK': 001
LAND
c;ewer & Water Permit. TyRr WELL
Sewar & Water Work Type RESIDENCE
Erase Fee $ . 00 WELL .__-__--
Surcharge ----------1-54- Total Fee $30 . S0
Subtotal $.50
CONTRACTOR: - Applicant - OWNER: '
,. ILLCO 4972:3:34i► ti!HN: i iN JAMES
8790 HWY 12 E :::-'7 W E:USH LK RU
OELANO MN SS: 2:� :I M I NG TON MN
(612 ) '?72- _::40 '2'a-7;_E:0
REMARKS:
(— THE UNOERSIGNEO HEREBY REQUEST PE: ION T4 MAKE THE REAL IMPROVEMENTS 1
SPECIFIED AND AGREES TO DCs ALL WORK .3TRIC:T COMPLIANCE WITH ALL. CITY OF
L ORONO ORO I NANCES ANO STATE OF M I NNES►a TA BUILDING CODE REQUIREMENTS.
'tj
PLICANT PERMITEE SIGY• ISSU'"' 8i . SIGNATURE