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<br />,\' , <br />" . <br />.. ). <br />..t _ <br />: ".,..:: <br />~CI~ <br />~ t.. <br /> <br /> <br />/.A ee6 r <br /> <br />City of Ramsey <br />'11113 NOWTHEN BOULEVARD NoW. llAMSEY. MINNESOTA 11303 <br />PHONE 11121 427.'410 <br /> <br />NC? <br /> <br />873 <br /> <br />APPLICATION FOR SEWAGE DISPOSAL SYSTEMS <br /> <br />Application is hereby made (or permit to do work listed below in accord with the ordinances <br />o( the City o( Ramsey. <br /> <br />Location of job ttlT /I ~, k I <br />Owner Shi/(l. ",,~_.~ J/.",.,,> <br /> <br />.',,", I~c/t:vl/W A/.r <br />n SS" $?f{ <br />Addreas I?i,,~$", It I~ I'ffJdf#K-' <br /> <br />New Work ( c...r <br /> <br />fOl <br />;! <br /> <br />Replacement ( ) <br /> <br />Licensed Installer. <br /> <br />Addition () <br /> <br />t" <br />. <br /> <br />Permit Validation <br /> <br />~c!,) <br /> <br />Money Order <br /> <br />Cash (Circle One) <br /> <br />(Show location of house, tank, 'drainfield, propert~ line and well.) <br /> <br />Tank Size ,>>-d <br />Square footage of <br />drainfield area !(D <br />Depth of rock <br />under pipe <br />Dejlth of rock <br />over i e <br />Depth of dirt <br />cover <br />Number of <br />bedrooms <br /> <br /> <br />~ . <br />'.t:.. <br /> <br />Jf'~ <br /> <br />d~1f - () ...T. lit. 7;/.(.-) - - --~ t.~-IC <br />U.J~~ (~(Jr~l .... L.. <br />._- ,.._~ ~ U,O "l"or <br /> <br /> <br />3. <br /> <br />". <br /> <br /> <br />- . b"~'- <br /> <br />able <br />Sewer pipe <br /> <br />! <br />I <br /> <br />Outside lift <br />Ejector <br />Gravity <br /> <br />( ) <br />( ) <br />9\') <br /> <br />J~ <br />,~~ <br /> <br />.tok <br /> <br />House to tan <br /> <br />Cast <br /> <br />l <br /> <br />Date /!-R- PS- <br /> <br /> <br />. O/~"'" (~N~ <br /> <br />. <br /> <br />, <br />fI~ ~-zA - . <br /> <br />Permit fee <br /> <br />Surtax <br /> <br />On ALL replacements and additions, <br />(or baffle inspection. <br /> <br />Total <br /> <br />Signature <br /> <br />l'hone: <br /> <br />Signature <br /> <br />Pone: L.J.)..) 01.:2 ? b <br /> <br />