HomeMy WebLinkAbout1977-10-28 Permit, Water Hookup #4997Contractor
Owner
Addracc
I
X d
j
State License No,
Section No.
Parcel No,
Plat No
Other Description:
Lot
City Permit N?
4997
City License No
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
Block Subdivision
Date /t9
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.
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Water Meter.
Sewer Hookup: (City)
Install Plumbing Systems:
Install Sewage Dieposal Systems:
Install Water Hookup: (('try)
Install Water Supply Systems (Well)
SAC
Fee 6o.00
Fee S
Fee f
Fee f
Fee S 5 to
Fee S
Fee S
State Surtax Fee S , C
Total Amount Paid to City Fet f
Code White -File Co"; Canary Inspector's ( opy. Pink -Finance Copy: Gold -Applicant's Receipt
of