HomeMy WebLinkAbout1978-05-24 Permit, Water Well #5171/
City Permit^®5171
Contractor
Owner___i Address
Address
State License No.
Parcel No.
Section No.
Plat No.
Other Description:
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
Date
Lot 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.
Water Meter:Fee $
S«w«r Hookup: (City)Fee $
Install Plumbing Systems:Fees
tiistali Sewafc Disposa) Syttemt:Fees
Install Water Hookup: (City)Fees
tnstalj Water Supply Systems: (Well)Fees
SAC Fee S
SUle Surtax:Fees
Total Amount Paid to City.................
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