HomeMy WebLinkAbout1980-12-16 Permit, Septic System #6228City Permit N? 6228
Contractor Soy _U dAoV S cNE2V (Ce S Address N.IKA Mil -
Owner. WtLLiav%& 'Vios mm iL Address r_2375 _DEQ 1 V1
State License No.
Parcel No.
City License No,
GENERAL PERMIT
CPI'Y OF ORONO
Crystal Bay, Minnesota
473-7357 Date /2 _
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 $
Sewer Hookup: (City)
Fee $
Install Plumbing Systems:
Fee $
Install Sewage Disposal Systems:
Fee $
Install Water Hookup: (City)
Fee $
Install Water Supply Systems: (Well)
Fee S
SAC
Fee $
State Surtax:
Fee $
Signat of applicant
7
Signs City Offi '
Total Amount Paid to City ......... Fee $ �S50
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold- Applicant's Receipt