HomeMy WebLinkAbout1977-10-07 Permit, Septic System #4973City Permit N o 4973
Contractor,_/C/L Address
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Owner RA, LCn h Address C- e49 l 42A c�%d
State License No
Parcel No.
Section No. Lot
Plat No.
Other Description:
City License No
GENERAL PERMIT
CHY OF ORONO
Crystal Bay, Minnesota
473-7357
Block Subdivision
Date
f4-7-7-7
I hereby agree that, in case a permit is granted, all work which shall he done and all materials which shall he used,
shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
Water Meter:
Fee S
Sewer Hookup: (City)
I cc 5 _
Install Plumbing Systems:
Fec S
Inst,;. '�isposal Systems:
^�' G t>
Fee S �
Install Water Hookup: Wity)
Fee S
Install Water Supply Systems: (Hell;
Fee $
SAC
Fac �
State Surtax:
Fee $ r..
Signature of applicant
Signature of City Offi
Total Amount Paid to City . . . . . . . . Fee $ /
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt