HomeMy WebLinkAbout1980-12-09 Permit, Septic System #6217City Permit N? 6217
Contractor W L s Address -r 6
Owner Addressrl
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State License No. City License No.
Parcel Nc,.
Section No. Lot
Plat No.
Other Description:
GENERAL PERMIT
CPi'Y OF ORONO
Crystal Bay, Minnesota
473-7357
Date_. - 9 CFO
Block Subdivision
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.
Wa':'Meter, Fee $
Sewer Hookup: (City)
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup: (City)
Install Water Supply Systems: (Well)
Fee $
Fee f
Fee $
Fee $
Fee f
SAC Fee f Signature of City ICU
State Surtax: Fee $ .50
Total Amount Paid to City ......... Fee $ &0 - 5 O
Code: White -File Copy, Canary -Inspector's Copy; Pink -Finance Copy; Gold-Appl;cant's Receipt