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HomeMy WebLinkAbout1981-09-01 Permit, Sewer Hookup #6444City Permit N? _ 6444 Contractor / Address Owner Address V540 State License No. City License No. GENERAL PERMIT CITY OF ORONO Crystal Bay, Minnesota 473-7357 Date — Parcel No, Section No. Lot Block Subdivision Plat No. Other Description: 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. Water hleter: FCC S Sewer ilookup: (City) FCC S Install Plumbing Systems: Fee $ Install Sewage Disposal Systems: FCC S Install Watcr Hookup: (City) Fee $ Install Water Supply Systems: (Well) Fee $ SAC Fee $ State Surtax: Fee $ Total Amount Paid to City ......... Fee $ cn2LO Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt