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HomeMy WebLinkAbout1976-11-04 Permit, Water Hookup #4687Cily Permit N?4687 4 GENERAL PERMIT CITY OF ORONO Crystal Bay, Minnesota 473-7357 Date 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 sliall be used, shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed below. 6 '7;^ 32 7(^ Water Meter: Sewer Hookup: (City) Install Plumbing Systems: Install Sewage Disposal Syslcmi: IntlaQ Water Hookup: (City) Install Water Supply Systems: (Well) SAC Staid Suftas: Tout Aini)unt Paid to City ..... Fee $ Pees ______ Fees_______ Fee $_________ m Fee $ ^ C :Fee I ...................- Feel___________ Feel ....................Fee I S Code; W)Hie-Flici Copy; CmarY-ln^eclorS C opy; fink-t inaace Copy; CoM-Appttcant'i Rece^ Signature of City OfTkiid^