HomeMy WebLinkAbout1978-09-25 Permit, Septic Repair #5325r
City PfennitN?5325
Contractor
Owner /^o u/aJ________
Address h^pcjorAj /• sr /ts> g~
State License No.
Address Z.f-/3 C-y'^AJ^f
City License No._____________•
GENERAL PERMIT
OTY OF OBONO
Parcel No______
Section No.___________ Lot,
Plat Ntf- ,,
Other Description:
Crystal Bay, Minnesota
473-7357
K \
Date ^ ~ *7 ^
Block,Subdivision,
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 Qty Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
Pig4 /AlF7gj-D le
Water Meter:Fees
Sewer Hookup: (City)Fees
Install Plumbing Systems:Fees
Install Sewage Disposal Systems:Fees 2.0
Install Water Hookup: (City)Fees
Install Water Supply Systems: (Well)Fees
SAC Fees
State Surtax:Fees
sro
Total Amount Paid to City................—
Code: White-FUe Copy; Canary-Inspector’s Copy; Pink-Finance Copy; Gold-Applicant’s Receipt