HomeMy WebLinkAbout1987-11-16 App. & Permit, Water Well #000457a
PERMIT
CITY OF ORONO PERMIT TYPE: 0004572% wATE
1335 Brown Rd. South • P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 Date Issued:
(612) 47 -7357
3
SITE ADDRESS: 2 580 FOX ST
DESCRIPTION:
Sewer & Water Permit T;,PE WELL
Sewer & Water Work Type RESIDENCE
FEE SUMMARY:
Ease Fei, $ . 00 WELL $:::U . UG
Surcharge MAIL IN--------_-1��4
Subtotal $.SA Total Fee $32.00
CONTRACTOR: -- APP l lic ant. - OWNER:
B RG_RSON G •SWELL INC 4479:3121 PAR N_ '3 4 DESIGN
b] 1 b INDUSTRIAL �:T EAST LAKE ST
MAPLE PLAIN MN 75:359 WAYZATA MN SS:391
(612.) 47.E-"�:121 476-4444
R I TE FtIJ': i BE OK' 0 BY CITY "STAFF . SUBMIT COPY OF STATE WFLL RECORD.
,r THE UNDERSIGNED HEREBY REQUESTS PERMISSION 10 MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO 00 ALL WORK IN 'STRICT COMPLIANCE WITH ALL CITY OF
(_ OW*Ki ORD I NANC:E S AND STATE. OF M I NNE SOTA BU 1 LD 1 NG CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE ISS BY SIGNATU4