HomeMy WebLinkAbout1981-11-01 Permit, Sewer Hookup #6566Contractor
Owner
State License No.
Parcel No.
Section No. Lot
Plat No.
Other Description:
City Permit N? 6566
Address
Address
City License No.
GEN jRAL PERMIT
C1 0V ORONO
Crystal Bay, Minnesota
473-7357 //, / f-,��
Date
Block Subdivision
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.
-#*' k. 43 q- ,? .--
/_,
Water Meter:
Sewer Hookup: (City)
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup: (City)
Install Water Supply Systems: (Well)
SAC
State Surtax:
Total Amount Paid to City . .. . . .. .
Fee S
Fee S
Fee $
Fee S
1: ee $
Fee $
Fee $ /��Le A�
Fee S s �'
Fee $
Si t re of appli - nt
Signature of City Offic'
Code: White -File Copy; Canary -inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt
/1,