HomeMy WebLinkAbout1978-08-29 Permit, Septic System #5298City lertttitN? 5298
Contractor Al— P.MgM t/ Address SPa/m, p,Ase e!
State License No.
City License No.
GENERAL PERMIT
CTrY OF ORONO
Crystal Bay, Minnesota
473.7357
Parcel No.
Section No. Lot Block Subdivision
Plat No.
Other Description:
Date g- 29- 7e
1 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:
Sewer Hookup: pity)
Install Plumbing Systems:
well Sewage Disposal Systems:
bnstaa water Hookup- (City)
Install water Supply Systems: (well)
SAC
Fee S
Fee S
Fee S
Fee S_
Fee $
Fee S
Fax S
3-0
State Surtax: Fee $
lTotal Amount Paid to City ......... Fee S �_
Signature of City tcial
Code: W12100•Fae Copy: Canary -Inspector's Copy; Pink -Finance Copy; Coid•AppticanC, Reoeipt