Laserfiche WebLink
City Permit _;0 5254 <br />Contractor S-Tt, PoA a iJ E L -Lr Address /S 3 0�, HW y 7 <br />Owner f ALLEX OULICQCC / Address/, I -Z1/4 ie ,7 <br />State License No. City License No. <br />GENERAL PERMIT <br />C[TY OF ORONO <br />Crystal Bay, Minnesota <br />473.7357 <br />Parcel No. <br />Section No. Lot Block Subdivision <br />Plat No. <br />Other Description: <br />I)ate % — 2-Y- %B <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 />b .�., _ TV*ML_- _ ____ <br />Water Meter: Fee S <br />Sewer Hookup: (City) Fee S <br />Install Plumbing Systems: Fee S <br />Install Sewage Disposal Systems: Fee $ Signature of applicant . <br />Install Water Hookup: (City) Fee S <br />A <br />Install Water Supply Systems: (Well) Fee S <br />SAC Fee S St turd of( 1) fic <br />State Surtax: Fee S <br />'i Sfl L <br />Total Amount Paid tc City .. Pee S � V <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy. Gold -Applicant's Receipt <br />