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HomeMy WebLinkAbout1977-11-18 Permit, Water Hookup #5015r City Permit ^©5015 Contractor Address Owner ['AAi^a)C.LL Address Vf gri State License No.City License No. GENERAL PERMIT C3TY OF ORONO M Crystal Bay, Minnesota 473-7357 Date //- /S^-7-? Parcel No. Section No.Lot Blo'*'Subdivision Plat No Other Description: 1 hereby agree that, in case a permit is granted, all work which shall be done and ail 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;Fee S Sewer Hookup: (City) IiHtall Piumbinp Systemr Feel Fm$ imtafl Sewap Oi^sal Systems: lastali Wetel lluukup; (City) Fees Fee S 2Ql tiiMefl Werer Supply Systeniii; (Wetl)Feet SAC State Surtax: Fm I FP S itenat^ ToUl Afltuunl PakJ tu Oiy .....................Fee t tty ^ // C^B4e Vhitw^Fie Cefy ; Cenery-lmfeituf'i Copy. jSwk-Fhwwi.'e Copy: GeM-Apffecaat’t aeceipt