HomeMy WebLinkAbout1976-09-15 Permit, Water Meter #4609r I'
City Permit ®460ii 1
Contractor
Owner
Address
Address
State License No.City License No.
GENERAL PERMIT 1
OTY OF OKONO
Crystal Bay, Minnesota
473-7357
Date
Parcel No.«
Section No.Lot Block Subdivision
Plat No.
Other Description:
**«
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:Fees
Sewer Hookup: (City)Fee S
Iiiktall Plumbing Systems:
Install Sewage Disposal Systems:Fee S _
Install Water Hookup* (City)Fee S OO
Indall Water Supply Sysiemi: (Well)Feel
SAC Fees
State Surtax:Fee S // '
Total Amoort Paid to City................. . Fee S
Ci>d«: White>Fib CopyiCinary-inspectorH Copy; Pink-riniince Copy; Cold-Applicant*! Receipt