HomeMy WebLinkAbout1979-05-21 Permit, Repair Septic System #5564Contractor
Owner___
State License No.
Address.
Address.
City Permit ^9 5564
(lIcXcA.
_City License No..
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
Date.
Parcel No _____
Section No ------------------Lot.
Plat No _______
Other Description:
Block.Subdivision.
I hereby agree that, in case a permit is granted, ill work which shall be done and all materials which shall be used,
shall comply with the Gty Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
Witer Meter: Fee $
Sewer Hookup: (City) Fee $
Initall Plumbing Systems: Fee $
Install Sewage Disposal Systems:
Install Water Hookup: (City)
Install Water Supply Systems: (Well) Fee $
SAC Fee $
State Surtax: Fee $
Total Amount Paid to Gty.......................Fee $
Feel___________
Code: White-File Copy; Canary-Inspector ’s Copy; Pink-Finance Copy; Gdd-Applicant ’s Receipt