HomeMy WebLinkAbout1980-10-28 Permit, Water Meter #6161Contractor
Owner
State License No.
Parcel No.
Section No. Lot
Plat No.
Other Description:
City Permit No,, 6161
Address 24t�-+—�- ;•If
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Address
City License No.
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GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
Block
473-7357
Subdivision
Date
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:
Sewer Hookup: (City)
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup: (City)
Install Water Supply Systems: (Well)
SAC
State Surtax:
Fce S -l
Fee $
Fee $
Fee $
Fee S
Fee $
Fee $
Fee $
Total Amount Paid to City . .. . . . . . . Fee S S Sd
Signat4cr, vcity official
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt
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