HomeMy WebLinkAbout020-15-1978 Permit, Fireplace #5084City PermitN? . 5084
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Contractor ' Uu11``'1� Address
Owner t� Address
State License No.
Parcel No.
Section No. Lot
Plat No.
Other Description:
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473.7357 Date -2
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.
Total Amount Paid to City ......... Fee S /C SG'
Code: Whitc•File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt
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Water Dietcr:
FCC $
Sewer [lookup: (City)
Fee S
Install Plumbing Systems:
FCC S
Install Sewage Disposal Systems:
FCC $
a of applicant
Install Water Efookup: (City)
Fee S
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Install Water Supply Systems: (Well)
Fee S
SAC
FCC S
Si nature of City Officjat�
State Surtax:
FCC S
Total Amount Paid to City ......... Fee S /C SG'
Code: Whitc•File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt