HomeMy WebLinkAbout1980-10-28 Permit, Septic Repair #6164L^v.
City permit 6164
Contractor.Address
Owner __________________Address r^
State License No..City License No.,
i<m-.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
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Date.
Parcel No______
Section No____________Lot,Block.Subdivision.
%
Plat No.
Other Description:
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1 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.
Water Meter:Fees
Sewer Hookup: (City)Fees
Install Plumbing Systems:Fees
Install Sewage Disposal Systems:Fees (\
InstaO Water Hookup: (City)Fees
Install Water Supply Systems: (Well)Fees
SAC Fees
State Surtax:Fees
Total Amount Paid to Gty................. . Fees
SignaM^f City Official/
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Code: White-FUe Copy; Canary-Inspector’s Copy; Pink-Finance Copy; GoM-Applicant’s Receipt