HomeMy WebLinkAbout1977-09-26 Permit, Septic System #4956city Permlt^O 4956
Contractor.
Owner___
s :j/1 .Address.
State License No..
. Address
.Gty License No..
GENERAL PERMIT
CITY OF ORONO
A\'* •
k
Crystal Bay, Minnesota
473-7357
Date.9-:ztf- 7?
PiarcelNo --------
Section No. Lot Block
mat No.
Other Description:
. Subdivision
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used,
shall comply with the Gty Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
Wtler Meter:Feel
Setm Hookup: (City)Fees
lAMaU numbtag Syftems:Feel
IbsUI Sewife DUpoiel Systems:FeeS.:^
bisull Wetcr Hookup: (City)Fees
bisteO Water Supply Systems: (Well)Fees
SAC Fee 1
Stale Surtax:Fee S
Total Amount Paid to City ................
Cod*: WMle-FO* Copy; Cauiy-^uqiecloi'i Copy: PInk-Finaiice Copy; Gold-Applicant’* Receipt