HomeMy WebLinkAbout1981-10-30 Permit, Septic System #6528City Permit N° 6528
Contractor
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Address -
Owner
4jrA Lind
Address
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State License No.
Parcel No.
City License No.
GENERAL PERMIT
Crff OF ORONO
Crystal Bay, Minnesota
473-7357
Section No. Lot Block Subdivision
Plat No.
Otter Description:
Date
lfw-
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.
Water Meter:
Fee S
Sewer Hookup: (City)
Fee S
Install Plumbing Systems:
Fee S
Instal Sewage Disposal Systems:
Fee $ Signat o apptica
Instal Water Hookup: (City)
i
Fee $
Install Water Supply Systems: (Wall)
Fee S
SAC
Fee $ Signature of City Oft'
State Surtax:
Fee S
r�Total Amount Paid to City ......... Fee S
Code; WhitrFile Copy; Canary-laspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt