HomeMy WebLinkAbout1980-04-16 Permit, Water Hookup #6301CCity Permit N? 6301
Contractor Klr0-- V \,0A S Address ST C'vnG �AIZk
Owner tyM I S S,, (,LWA Address_ 31 ZLI CASLC-) C%F-Cl�
State License No. City License No.
Section No.
Parcel No.
Plat No.
Other Description:
GENERAL PERMIT
CH Y OF ORONO
Crystal Bay, Minnesota
473-7357 -4 ` ((o
Date �D
Lot Block Subdivision
I hereby agree that, in case a permit is granted, all work which shall Ue 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 Huokt. (City)
Install Plumbing Systems:
Install Sewage Disposal Systems
Install Water Hookup: (City)
Install Water Supply Systems (WO)
SA(
State Surtax:
I'Aal Amount Paid to City
Fee S
Fee $
Fee S
Fee S _ Sillut� of appb9st ,
Fee S
Fee S
Fee S
Fee S 0 s
Fee S 4ka SD
Signature o}.City Official
Cute White Vile t opy, Cmary-Inapector's Copy: Mak-Finance Copy: Gald-Applicmt'a Rwxrapt