HomeMy WebLinkAbout1978-08-01 Permit, Sewer Hookup #5261City Permit.N? 526
Contractor �t�5'TditlKa w if .wa Addressgo *1 W
Owner A G S Address em2300 -Raquia
State License No.
Parcel No.
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
Section No. Lot Block_ Subdivision
Plat No.
Other Description:
Date &/ — 71
1 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 Meter: Fee $
ee
Sewer Hookup: (City) Fee S
Install Plumbing Systems: Fee S
Install Sewage Disposal Systems: Fee $ tgnat of plica
Install Water Hookup: (City) Fee S �
Install Water Supply Systems: (Well) Fee $
SAC Fee S Sign ur ty Z:22
State Surtax: FCC $ . S�
Total Amount Paid to City ......... Fee S
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt