HomeMy WebLinkAbout1980-10-27 Permit, Septic Addition #6159City Permit N8 6159
Contractor `�� G `— �"� Address
Owner �`a `'x'— Address
State License No. _ _ City License No.
Parcel No.
Section No.
Plat No. _
Other Description:
GENERAL PERMIT
cnY of GRONO
Crystal Bay, Minnesota
473-7357 /�_ �� 7
Hate
Lot Block Subdivision
I hereby agree that, in case a permit is granted, all work which shall be done and all mater:..ls which shall be used,
shall comply with the City Code of Orono applicable ther::to, and shall include all additional specifications as listed
below.
Water Meter: Fee $
Sewer Hookup: (City) Fee $
Install Plumbing Systems: Fee $
Install Sewage Disposal Systems: Fc: $ ign re of applicant J,
Install Water Hookup: (City) Fee S
Install Water Supply Systems: (Well) Fee S
SAC Fee $ Signal U ;C) Of :ial /
State Surtax: Fee S / � �� / t
rotal Amount Paid to City . .. . . .... Fee S 5—'o
Code: White -File Copy; ('&nary -inspector's Copy; Pink-Fioance Copy; Gold -Applicants Receipt