HomeMy WebLinkAbout1976-11-02 Permit, Sewer Hookup #4680City Permit 4680
Contractor
o2Owner
Address
Address yfj.
State License No.City License No.
GENERAL PERMIT ■4t
r
OTY OF ORONO
Crystal Bay, Minnesota
473-7357 //-^ -7^
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,
shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
'iVifer Meter:l-eeS
Sewer Hookup: (City)I ce $o2o. oo
InsUU Piuinbiag Sy stsnuii I'ce $
Instal Scwtpe Diipoui Systeim;Fee$
Install Wafer Hookup: (( Hy)Fees
liittaU WsUt Supply Systeim: (Welt)1 ee S
SAC leeS
8Ut« Suftam:Fees . 6o
Total Amoiifit Paid to City................. . . Fm t ifb
* ' • V
Osfe: WWt&^I Us Copy; CiiarHii^wctof'i Copy. Pmi I tnancs Copy ; Grtld.An>licant*i Rerripi