HomeMy WebLinkAbout1981-10-22 Permit, Septic System Add #6518City Permit _N? 6 518
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State License No.
Parcel No. _
Section No.
Plat No. _
Other Description:
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota y� 473-7357 Date LO —Z` GJ /
Lot 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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Water Meter:
Fee S
Sewer Hookup: (City)
Fee $
Install Plumbing Systems:
Fee $
Install Sewage Disposal Systems:
a+U
Fee $
Install Water Hookup: (City)
Fee S
Install Water Supply Systems: (Well)
Fee $
SAC
Fee $
1�
State Surtax:
Fee S
Total Amount Paid to City
Srn
... Fee S,�te_
Signatur o(applic t ~�
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Signat ny ^ cial
Code: White -File Copy; Canary -Inspector's Copy: Pink -Finance Copy; Gold -Applicant's Receipt