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CitY' of-Ramsey ' <br />15153 NOWTHEN BOULEVARD N.W., RAMSEY, MINNESOTA 55303 <br /> <br /> PHONE (S12) 427-1410 <br /> <br />APPLICATION FOR SEWAGE DISPOSAL SYSTEMS <br /> <br />Applicati°n is hereby made f°r permit t° d° w°rk listed bel°w in acc°rd with ile °rd(i~nlncesIof the City. of Ramsey./ z' .~ ~; ~"/-" <br /> <br />Licensed Installer Addition ( ) _ <br /> <br />Permit Validation Check Money Order Cash (Circle One) <br /> (Show~ location of house, tank, 'drainfiet'd, property line and well')-- <br /> <br /> Square footage of ! .............. I <br /> Beprh of rock ..... ........ ~ ..... ~ .~ .-. ~ · <br /> under pipe <br /> Depth of rock ~ , ~.~ ~ , , ~ ~ <br /> <br /> Number of ~-F-7 ...... t-~ ....~ .... r' :-': <br /> <br /> Water Table , I . , ~ I <br /> <br /> Outside lift ( ) ; , ~ j ~ I, <br /> <br /> ..:A L_re~ ~ks_mu.s~:.be ~x~oSed <br /> fnspection <br /> <br />Signature 2hone: <br /> <br />Signature <br /> <br />Da te <br /> <br /> -~Licensed .Installer <br /> <br />..-, ,~ .... ,:....,, ,,~,..-.,,.,.... ~_.~ ..... :., ~.- :?.~/.~f <br /> Otherf'than.'L~censed. Ins Cai le'~. <br /> <br /> '> ....'~ '.' ';-7' 7' ',~_,.~Ey <br /> <br />Phone: <br /> <br />! <br />i <br />I <br /> <br /> <br />