HomeMy WebLinkAbout1978-06-28 Permit, Septic System #5231r ■
City Permit 5231
Contractor ^
Owner T) I ___________
State License No.
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. Address -3.2L.rO Fc^Y ^T._____________
.City License No._____________:__________________
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
Date.
Parcel No_____
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 ill additional specifications as listed
below.
f^o E '^KA/AJFiei.ri
Water Meter:
Sewer Hookup: (City)
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup: (City)
Install Water Supply Systems: (Well)
SAC
State Surtax:
Fees
Fees
Fees
Fees *2-0
Fees______
Fees______
Fees______
Fees______
Signature of appli
VO
Total Amount Paid to City....................Fee S 2jD
Signature of Citv Official M //
Code: Vt'hite-File Copy; Canary-Inspector’s Copy; Pink-Finance Copy; Gold-Applicant’s Receipt