HomeMy WebLinkAbout1978-06-19 Permit, Water & Sewer Hookup #5209City Permit ^ ®5209
Contractor__I
Owner
State License No---------
Address
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357 Date
Parcel No.
Section No.
Plat No.
Other Description:
Lot ^ Block Subdivision
icii,
•tcdl
... . _ -rtrmjf ic or inttvi ill wofk which shall be done and all materials which shall be used,
SIX-■" ‘ “
below.
Water Meter;
Sewer Hookup: (City)
Install Plumbing Systcmi:
Install Sewage Disposal Systems:
jistall Water Hookup: (City)
InUaU Water Supply Systems: (Uell)
SAC
State Surtax:
Total Amount Paid to Oty...........
/
Feel
Signature pf applicant
jf f
ges
Sienature «f Uty (JUtt iaimC7 ^
C«J»: Whltt-Flto copr; Cw«y-li>.pc«n»'* r“P»; fink l manM Copy; C.>U Applltuil'i Receipl