HomeMy WebLinkAbout1980-10-14 Permit, Repair Septic System #6147City Permit N? 6147
Contractor Address
Owner
0 11 Address
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:
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.
c.�
Water Meter:
Fee $
Sewer Hookup: (City)
Fee S
Install Plumbing Systems:
Fee $
Install Savage Disposal Systems:
Fee S
Fee $
C
Install Water Hookup: (City)
Install Water Supply Systems: (Well)
Fee $
SAC
Fee $
Si a of City Officia
State Surtax:
Fee $
5-6
Total Amount Paid to City .........
Fee $
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt