HomeMy WebLinkAbout1979-10-15 Permit, Repair Septic System #5770Contractor.
CltyPferaiitN? . 5770
Address.
Owner Arfdremt
State License No. _____________________________City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
Date.
Parcel No_____
Section No-----------------Lot.Block..Subdivision.
Plat No.
Other Description:
1 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 Qty Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
/I
Wiitr Met«r:
Sewer Hookup: (City)
IntUQ Fluaibiog Systemi:
Inftel Sewage Dlipoitl Syitemi:
InttaO Water Hookup: (City)
Install Water Supply Systems: (Well)
SAC
feel.
Feel.
Feel.
State SurUx: j
fte %
Feel___________
Feel___________
Feel___________
f
Sii^naui^f City Omcial y J
Total Amount Paid to City.....................Fee I
Code: White^File Copy; Canary-Inspector's Copy: Pink-Finance Copy. <Sold-Applk:ant*s Receipt