HomeMy WebLinkAbout1981-12-09 Permit, Gas Furnace #6587■3f<9L
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CityPfcrmit N^9 6587
Contractor ^Lt Address
Owner
State License No.
Parcel No.
Section No.
Plat No.
Other Description:
Address ^ ^ cP
City License No.
GENERAL PERMIT
cmr OF ORONO
Crystal Bay, Minnesota
473-73.‘)7
Date ^
Lot Block Subdivision
ill be used,
ns as listed
4J/
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be :d,
shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
c ^2n. 00
I /dO,or>o (Uu.l\ 'r^/QO
’V Witer Meter:fee S
Sewer Hookup: (City)Fees
tniUlI Plumbirig Systeir.s:Fee S
IiutAll Sewage Disposal Systems:Feel ________
Install Water Hookup: (City)1 ee S
Install Water Supply Systems: (Well)Feel
SAC Fee S
State Surtax;Fee $ .
Total Amount Paid to Qty................. . Fa 1 Ho ,
Signa^re of appiicMt
Signatur® of City Official
____