HomeMy WebLinkAbout1979-09-13 Permit, Water Meter #5718Contractor
Owner
State License No.
Address
City Permit N?
'A2R_
Address
City License No.
GENERAL PERMIT
QTY OF ORONO
Crystal Bay, Minnesota
473-7357
Parcel No.
Section No. Lot Block
Plat No.
Other Description:
Subdivision
0
Date _..
5718
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.
AlLAA.71 f- i2_ -1-6, 7
�Jc> i .S
Water Meter:
Sewer Hookup: (City)
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup: (City)
Install Water Supply Systems: (Well)
SAC
t L
Fee S a,
Fee $
Fee $
Fee $
Fee S 39
Fee S
Fee $
State 'Aurtax: Fee S
Total Amount Paid to City . . . . . . . . . Fee S
Signat re y Official
"'�r '04 Goo 4- tA_t4
Code: White -File Copy; Canary -inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt