HomeMy WebLinkAbout1980-04-01 Permit, Water Meter #5955city Permit 5955
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Contractor.
Statel'cenMNo..
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. Addren.
Owngr QXt^Arirfr<»<<
.City License No..
GENERAL PERMIT
CITY OT ORONO
Crystal Bay. Minnesota
473-7357 Date.
Parcel No--------
Section No-----------------Lot.Block..Subdivision.
Plat No.
Other Description:
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I hereby agree that* in case a permit is v^ted, all work which shall be done and all materials which shall be used*
shall comply with the Qty Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
o/e-34/S'/
Wate; Meter:
Sreer Hookup: (City)
InftaO Plumbing Syitemt:
InaiB Sewage Dl^mial SyHemt:
Insun Water Hookup: (City)
bitaa Water Supply Syttems: (WeO)
SAC
State Surtax:
Total Amount Paid to City..........
Fee I
Fees__________
Feel___________
Feel___________
Feel___________
Fees___________
Fees___________
Fees___________
Signattttt of applicant ^ y
Signiupyof Cit/
..........Fe«S_^U2L_
Code: White-File Copy; Canary-Inspector's Copy; Pink-Finince Copy; Gold-Applkant*t Receipt