HomeMy WebLinkAbout1977-04-11 Permit, Water Hookup #4775City Permit 4775
Contractor,
Owner___
Ad dress.
Address.
State License No.City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
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, I
shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed j
below.
Water Meter:Fees
Sewer Hookup: (City)Fees
Install Plumbing Systems:Fees
Install Sewage Disposal Systems:Fee $
Install Water Hookup: (City)Fee S
Install Water Supply Systems: (Well)Fees
SAC I ee S
Slate Surta-X:/ ff ^J -J-__
Total Amount Paid to City ..............«* ✓ - . . Fee $ -----
Code: While-File Copy;CiUiiiiy'Inspcctor ’s Copy; Pink-Finance Copy; Gold-Applicant's Receipt