HomeMy WebLinkAbout1977-10-12 Permit, Septic System #4977City Permit ^0 4977
Contractor,
Owner___
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 City Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
Water Meter:I ee $
Sewer Hookup: (City)Fee $
Install Plumbing Systems:Feel
Install Sewage Disposal Systems:I ec $
Install Water Hookup: (City)Fees
In^itali Water Supply Sy^Iems; (Well)Fee S
SAC Fees
State Surtax:Fees
Total Amuuul Paid to City .......
Code: Copy; Cimiuy-Iiupector*s Copy , Pink-I iniince Copy; Cold-AppUcant*s Receipt