HomeMy WebLinkAbout1981-09-17 Permit, Septic System #6471City Permit
Contra,
Owner
State License No. City License No.
Parcel No
GENERAL PERMIT
CITY OF ORONO
Na 6471
Crystal Bay, Minnesota
473-7357
Date
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. f�
Water Meter:
Fee $
Sewer Hookup: (City)
Fee $
OD
Install Plumbing Systems:
Fee $
Install Sewage Disposal Systems:
Fee $
Install Water Hookup: (City)
Fee S
Install Water Supply Systems: (Well)
Fee $
SAC
Fee S
State Surtax:
Fee % �U
Total Amount Paid to City .........
Fe 10 0 to
Signat applicant
i�
Signatuty Vfficial —
t
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt