Laserfiche WebLink
• <br />City Permit IN? 5337 <br />Contractor W E S TO AJ kA Address PoNND <br />Owner VAN Ecz_je_ M&C Address r 0 e—y- 6T <br />State License No. <br />Parcel No. <br />Section No. Lot <br />Plat No. <br />Other Description: <br />City License No. <br />GENERAL PERMIT <br />CUY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Block Subdivision <br />Date <br />of - let - 7 6 <br />I hereby agree that, in cas,: a permit is granted, all work which shall be done and all materials which shad he used, <br />shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />Signature of licant e--� <br />Install Water Supply Systems: (Well) Fee S <br />SAC Fee $ Signature of City Off4.jal <br />State Surtax: Fee $ <br />_ 5�Af <br />Total Amount Paid to City ......... Fee S 20 ,_- <br />Code: White -File Copy; Canary -Inspector's Copy; Pink-Fi-.ance Copy; Gold -Applicant's Receipt <br />Water Meter: <br />Sewer Hookup: (City) <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Fee $ <br />Fee S <br />Fee S <br />.-o <br />Fee $ 2-0.= <br />Fee $ <br />