HomeMy WebLinkAbout1980-10-31 Permit, Septic Repair #3170!»'
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City Permit 6170
Contractor
Owner
dress_____Address.
Address.
State License No.
^HOo
City License No.____
GENERAL PERMIT
cm OF ORONO
Crystal Bay, Minnesota
473-7357 Dat« -^/-^n
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 aU additional specifications as listed
below.
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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
Fee S .^/O. /^L/)
Fee S___________
Fees___________
Fee S ___________
Fees
Signature of ajvpli^tft
Total Amount Paid to aty....................Fee S
Code: White-File Copy; Canary-Inspector's Copy; Pink-Finance Copy; Gold-Applicant’s Receipt
Signature Q^y Official /) /O / j
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