HomeMy WebLinkAbout1979-08-28 Permit, Gas Furnace #56911
City Permit N ?5691
Contractor
Owner
dress
Address ■^/^/ /Z
State License No.City License No.
GENERAL PERMIT
CSTY OF OBONO
Crystal Bay, Minnesota
473-7357
Date
Parcel No.
Section No.Lot Block Subdivision
Plat No.
Other Description:i
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.
Water Meter:I'Ve» _____
Sewer Hookup: (City)I'ee %
Fnttall Plumbinp Sysicnu:Fee S
fnttall Sewage Ditposal Sy<itemt:Fee S
Inttall Water Hookup: (City)Fee f
luiiafl Water Supply Systems: (WcU)Fee 1 ^.
SAC Fees
State Sttrtaa;Fee S a
Total AmooBt fakl to City.....................F ee S . S' ^
Sii^ipre of apirfkant
A.'t.4 .ti t ^
tity Offkal
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