HomeMy WebLinkAbout1978-06-12 Permit, SAC Charge #5203X City Permit^®5203
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State License No.
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.City License No.
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GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357 Date ^'V^-20
Parcel No.
Section No.Lot Block Subdivision
Plat No...
Other Description:
I hereby agree that, in case a permit is granted, all work whicii s?' lil i e 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
Fee $Install Plumbing Systems:
«
Install Sewage Disposal Systems:1 ce $
jinstall Water Hookup: fCily)
Install Water Supply Systems: tWelD
I'cc $
Fee S
Feet 1 •^oo-SAC
State Surtax:Feel
Total Amount f^fd to City .................. . F ee $-
Signaluie of applitaW ^ ^ ^ jf.
Code: White-l Uf Copy;CflDary Iinpettor'n Copy; Pink Finance Copy; Guld-AppUcani’i Rcjeipt