HomeMy WebLinkAbout1977-11-08 Permit, Septic System #5005City Permit IN? 5005
Contractor
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Owner
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State License No. City License No.
GENERAL PERMIT
GTI'Y OF ORONO
Crystal Bay, Minnesota
473.7357
Parcel No.
Section No. Lot Block Subdivision
Plat No.
Other Description:
Date // " Y' — 77
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 S
Install Plumbing Systems:
Fee S
Instal! Sewage Disposal Systems.-
Fee $ 0
Install Water Hookup: (City)
Fee S
Install Water Supply Systems: (Well)
Fee $
SAC
Fee $
Stele Surtax:
Fee S 5�
Total Amount Paid to City .........
Fee $ .50
re of app
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Signature of City Official
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Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt