HomeMy WebLinkAbout1980-10-22 Permit, Septic Repair #6155City Permit N? 6155
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State License No:
Parcel No
—City License No._
GENERAL PERMIT
CITY OF ORONO
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 theicto, and shall include all additional specifications as listed
below.
Water Meter:
Fee S _
Sewer Hookup: (City)
Fee $
Install Plumbing Systems:
Fee $
Install Sewage Disposal Systems:
krtQ. Fee $
Install Water Hookup: (City)
Fee S
Install Water Supply Systems: (Well) Fee S
SAC
State Surtax:
Fee $
Fee S
Sig�urcµ>(app�ant '/�
rotal Amount Paid to City .. . . . . . Fee S fin, 5 U
Code: White-Ffle Copy; Canary -Inspector's Copy: Pink -Finance Copy; Gold -Applicant's Receipt