Laserfiche WebLink
Contractor_ it p►>7e--I- t 477-' _ Address <br />Owner (' N4£LE' 1'k .tiJ Address <br />State License No. <br />Section No. <br />Parcel No, <br />Plat No <br />Other Description: <br />City License No. <br />City Permit N? 6375 <br />NG <br />17 <br />GENERAL PERMIT <br />CUY OF ORONO <br />Crystal Bay, Minnesota <br />473.7357 <br />Lot Block Subdivision <br />Date 7-240-f:31 <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 />Cck0ar,-r2-:Y /O (7- 2 <br />Water Meter: Fee S !3 <br />Sewer Hookup (Ciry) Fee $ <br />Install Plumbing Systems: Fee S <br />Install Sewage Disposal Systems. Fee S <br />1 M -Y <br />Install Water HrMkup: (City) 1•ee $ _ <br />Install water Supply Systeme (Well) Fee S <br />SA( <br />1V <br />State Surtax: Fee S <br />Total Amount Paul to City Foe $ 1L <br />SignatuMof applicant <br />Signature of City Offic <br />Code White -File Copy, Canny -Inspector's Copy: Pint -Finance Copy, Gold -Applicant's Receipt <br />