HomeMy WebLinkAbout1979-11-14 Permit, Septic System #5804City Permit N? 5804
Contractor&L1,1tA14_ / 1111, 61 1f �erw/• Address .S
Owner Address L2yp_
State License No.
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
Parcel No.
Section No. Lot Block Subdivision
Plat No.
Other Description:
Date ,zf —f ,�— 7!�
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 fisted
below.
Water Meter:
Sewer Hookup: (City)
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup: (City)
Install Water Supply Systems: (Well)
SAC
State Surtax:
Fee S
Fee $
Fee $
Fee $ L72- g cure of applican
Fee S
Fee $
Fee $
Fee S . -7t)
Signet re of City Officia�
Total Amount Paid to City . ....... . Fee S • Sp
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold-Appticant's Receipt