HomeMy WebLinkAbout1979-10-03 Permit, Septic System #5750City Permit N? 5750
Contractor S u J-L- I VA-,A1 Address
Owner 1?-ajygls ,A Me- L m N Address '7 C— N • �Eiey D,�t� leD
State License No.
Parcel No.
Section No. Lot
Plat No.
Other Description:
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473.7357
Date
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.
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P.rN & -"
Water Meter Fee $
Sawa Hookup: (City) Fee S
Install Plumbing Systems: Fee $
Install Sewye Disposal Systems. Fee $ nature f applic
Install Water Hookup: (City) Fee S
10e1011 Wolof Supply Systems: (Well) Fee $
SAC Feu f Signature of.Qity iicial
• Xll rL, //z
Fee f
I „gal Amount Paid to Cit) Fee f _
('odeWhile-File Copy; ('ARMY -inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt