HomeMy WebLinkAbout1979-10-03 Permit, Septic System #5748City Permit Na 5748
Contractor SNLLL►✓AN Address_ �1T%
Owner!�O,s=w4AM71Z Address ? aC) T-'*-*),e' L_4sV'9_
State License No.
Parcel No.
City License No.
GENERAL PERMIT
CUY OF ORONO
Crystal Bay, Minnesota
473 7357
Date
Section No. Lot _ Block Subdivision
Plat No.
Other Description:
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
Install Sewage Disposal Systems:
Fee S
Install Water Hookup: (City)
Fee S
Install Water Supply Systems: (Well) Fee $
of applica '
i
SAC Fee S _ ._ Sity Official
Sb
State Surtax: Fee S/44
_
S"C
Total Amount Paid to City . .. . ..... Fee $
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt