HomeMy WebLinkAbout1979-09-10 Permit, Septic System Repair #5709City Permit No _ 5709
Contractor_ `�Jl(��h1t.20� Address
Owner M I k;F V.r ay.Z Le r Address C MiEix 1EV.1
State Licenst, No. _ City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
• 473-7357
Date
Parcel No.
Section No. Lot Block Subdivision
Plat No. _ I
Other Description:
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be us
shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as lis
below.
Water Meter:
pee S
Sewer Hookup: (City)
pee S
Install Plumbing Systems:
pee S
Install Sewage Disposal systems:
GO
pce S
Install Water Hookup: (City)
pee $
Install Water Supply Systems: (Well)
pee S
SAC
pcc $
State Surtax:
pee S
Total Amount Pail to City .........
Fee S ;> U
Signature of app ' ant