HomeMy WebLinkAbout1981-07-20 Permit, Water Meter #6375Contractor_ it p►>7e--I- t 477-' _ Address
Owner (' N4£LE' 1'k .tiJ Address
State License No.
Section No.
Parcel No,
Plat No
Other Description:
City License No.
City Permit N? 6375
NG
17
GENERAL PERMIT
CUY OF ORONO
Crystal Bay, Minnesota
473.7357
Lot Block Subdivision
Date 7-240-f:31
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.
Cck0ar,-r2-:Y /O (7- 2
Water Meter: Fee S !3
Sewer Hookup (Ciry) Fee $
Install Plumbing Systems: Fee S
Install Sewage Disposal Systems. Fee S
1 M -Y
Install Water HrMkup: (City) 1•ee $ _
Install water Supply Systeme (Well) Fee S
SA(
1V
State Surtax: Fee S
Total Amount Paul to City Foe $ 1L
SignatuMof applicant
Signature of City Offic
Code White -File Copy, Canny -Inspector's Copy: Pint -Finance Copy, Gold -Applicant's Receipt