HomeMy WebLinkAbout1978-09-19 Permit, Septic System #5315City Permit N? 5315
Contractor-,�t' �C( .�_ * -�t-� -� Address
Owner -/"
Address
State License No.
Parcel No.
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
Section No. Lot b Block
Plat No,
Other Description:
473-7357 � / ?J`Date
,Pi s A /? Its
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.
Water Meter: Fcc S
Sewer Hookup: (City) Fee S
Install Plumbing Systems: Fee S
i
Install Sewage Disposal Systems: Fee S --/�L Si p1K�ntk"
Install Water Hookup: (City) Fee S i
;1�,,
Install Water Supply Systems: (Well) Fee S l �
SAC Fee S Sign3t e f ity 0 Icial /
r el
State Surtax: Fee ; �C�
Total Amount Paid to City .. . .. . Fee S
Code: White -File Copy: Canary -Inspector's Copy-, Fink -Finance Copy: Gold -Applicant's Receipt