HomeMy WebLinkAbout1980-07-14 Permit, Septic System #6043City Permit Na 6043
MIAkPHy
Contractor "A-f &Per— V AJ — iL36 Address 116yo mi t
Owner 4FDt' J At.g.ro/✓ Address
State License No.
City License No.
GENERAL PERMIT
CPl'Y OF ORONO
Crystal Bay, Minnesota
473-7357
Parcel No.
Section No. Lot Block Subdivision
Plat No.
Other Description:
Date 7- / 7 — 80
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 $
tnstall Plumbing Systems: Fee S
o-0
Install Sewage Disposal Systems: Fee S 35 Sig cure of appUcant
Install Water Hookup: (City) Fee $ �+
Install Water Supply Systems: (Well) Fee S l
SAC Fee S _ Xff;t
re Sf
State Surtax: Fee S
Total Amount Paid to City ......... Fee S 3-S'_
Code: White-FUe Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt