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HomeMy WebLinkAbout10-24-1979 Permit, Mechanical Fireplace #5781City Permit N? 5781 Contractor ^ 1 T VS. ^ nT________ Owner l^C / CQA 1\J SO (J Address , Address.12-.“! t fZJ^or State License No.,.City License No.. GENERAL PERMIT cm OF ORONO Parcel No--------- Section No____________Lot. Plat No_______ Other Description: Crystal Bay, Minnesota 473-7357 Date./^-;2</- 7? . Block.. Subdivision. I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed below. iWecAv — lA A lo o Cn cAr.' Ft g. ep /. ______o?iO. ________________ R-uH-rr-Z/O R>* CbtA>v\ . Water Meter: Fee $ . Sewer Hookup: (City) Fee $ , Install Plumbing Systems: Fee S . Install Sewage Disposal Systems: Fee S Install Water Hookup: (City) Fee S SAC State Surtax: Total Amount Paid to City Install Water Supply Systems; OVell) Fee S Fees __Signature o! Fee S X ...........Fee S CLC / Code: White-File Copy; Canary-Inspector’s Copy; Pink-Finance Copy; Gold-Applicant’s Receipt itufcq^ity Official / //