HomeMy WebLinkAbout07-24-1981 Permit, Drainfield Add #6390go
Contractor
Owner
UJAJ&_)'< Address
State License No.
S7ALAJ C Address
Parcel No.
Section No. Lot
Plat No.
Other Description:
L
City License No.
City Permit
N? 6390
O's- 60,4-rz:
GENERAL PERMIT
CI'T'Y OF ORONO
Crystal Bay, Minnesota
473-7357
Date 2
Block 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 City Code of Orono applicable thereto, and shall include all additional specifications as listed
below. ,
N
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Water Meter:
Sewer Hookup: (City)
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup: (City)
Install Water Supply Systems: (Well)
SAC
State Surtax:
coo S.4, D 12
Fee $
Fee $
Fee $
oc
Fee S
Fee $
Fee $
Fee S
Fee $
Total Amount Paid to City . ... .... . Fee $ •�
Signat
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Signature of City Official r,'_-
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt