Laserfiche WebLink
C'`'' Per"'` N. 4603 <br />Contractor Address <br />Owner �/ w H Ra 14fQ�� EG` Address SD L�ANL RO.4 n <br />State License No, <br />Parcel No <br />City License No. <br />GENERAL PERMIT <br />CPl'Y OF URANO <br />Crystal Bay, Minnesota <br />473-7357 <br />Date <br />Section No. Lot Block <br />Plat No. <br />Other Description: <br />Subdivision <br />9-/.3 -76 <br />l 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 />Water Meter: <br />Sewer Hookup: (City) <br />Install Plumbing Systems: <br />Instaa Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Fee S <br />Fee $ <br />Fee S <br />Fee S <br />Fee S <br />Imtall Water Supply Systems: (Well) Fee $ _ V <br />SAC Fee S • O� Signs a pf frig i ' 1 <br />State Surtax: Fee S <br />Total Amount Paid to City ......... Fee S 3 O.Oa <br />Code: Wldta-File Copy; Canary -Inspector's Copy; Pink -Finance Copy; GW-Applicant's Receipt <br />