HomeMy WebLinkAbout1978-09-20 Permit, New Septic System #5317City Permit N?5317
Address
Address
State License No.City License No.
GENERAL PERMIT
CTIY OF ORONO
Crystal Bay, Minnesota
473-7357
Date
Parcel No.
Section No.Lot Biock Subdivision
Plat No.
Other Description:
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:Fee $
Sewer Hookup: (City)Fee S
Install Plumbing Systems:Fee $
InstaU Sewage Disposal Systems:Fee $
Install Water Hookup: (City)I ce $
Install Water Supply Systems: (Well)Fees
SAC Fee S
State Surtax:Fees
Total Amount Paid to City...............
Signature of applicant
a-
Code: White-File Copy;Canary-lnspcctor’s Copy; Pink-Finance Copy; Gold-Applicant’s Receipt