HomeMy WebLinkAbout1978-09-29 Permit, Sewage Disposal System #5337•
City Permit IN? 5337
Contractor W E S TO AJ kA Address PoNND
Owner VAN Ecz_je_ M&C Address r 0 e—y- 6T
State License No.
Parcel No.
Section No. Lot
Plat No.
Other Description:
City License No.
GENERAL PERMIT
CUY OF ORONO
Crystal Bay, Minnesota
473-7357
Block Subdivision
Date
of - let - 7 6
I hereby agree that, in cas,: a permit is granted, all work which shall be done and all materials which shad he used,
shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
Signature of licant e--�
Install Water Supply Systems: (Well) Fee S
SAC Fee $ Signature of City Off4.jal
State Surtax: Fee $
_ 5�Af
Total Amount Paid to City ......... Fee S 20 ,_-
Code: White -File Copy; Canary -Inspector's Copy; Pink-Fi-.ance Copy; Gold -Applicant's Receipt
Water Meter:
Sewer Hookup: (City)
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup: (City)
Fee $
Fee S
Fee S
.-o
Fee $ 2-0.=
Fee $