HomeMy WebLinkAbout1977-10-14 Permit, Water Well #4981City Permit^®4981
Contractor Li I ELL.C/
Owner I/a tJ kinau'f___________
State License No. . __________________
Address /^ITKA 7^/a /A/
Address / ^0 j/^COUjy\
City License No.
GENERAL PERMIT
CITY C»^ ORONO
Crystal Bay, Minnesota
473-7357
Date -/V -77
Parcel No.
Section No.Lot Block Subdivision
Plat No.
Other Dcs'ription:
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 Meter:1 cr S
Sewer Hookup: (City)Fee $__
Install Plumbing Systems:Fee S
Install Sewage Disposal Systems:Fee}
Install Water Hookup: iCity)Fee S
Install Water Supply Systemi: iWellJ Fwl
SAC Fee $
Sl4ie Surtax:Fee 1
Total Amouni Paid to City............... . . F« 1
Cod«. WWte-Fik Copy;Ciiiiafy-In-sp^ur«f'i Cup>. Pfatfi-Fiauiue f'opy: Gukl-AprUcaAtâs Receipt