Laserfiche WebLink
go <br />Contractor <br />Owner <br />UJAJ&_)'< Address <br />State License No. <br />S7ALAJ C Address <br />Parcel No. <br />Section No. Lot <br />Plat No. <br />Other Description: <br />L <br />City License No. <br />City Permit <br />N? 6390 <br />O's- 60,4-rz: <br />GENERAL PERMIT <br />CI'T'Y OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Date 2 <br />Block Subdivision <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, <br />shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. , <br />N <br />w <br />Water Meter: <br />Sewer Hookup: (City) <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Install Water Supply Systems: (Well) <br />SAC <br />State Surtax: <br />coo S.4, D 12 <br />Fee $ <br />Fee $ <br />Fee $ <br />oc <br />Fee S <br />Fee $ <br />Fee $ <br />Fee S <br />Fee $ <br />Total Amount Paid to City . ... .... . Fee $ •� <br />Signat <br />7 <br />nt <br />Signature of City Official r,'_- <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />