HomeMy WebLinkAbout1976-10-06 Permit, Water Hookup #4635City Permit ]V9 4635
Address
Address ^ 7^7 S^-
State License No.City License No.
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 shall be used,
shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
Water Meter:
Sewer Hookup: (City)
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup: (City)
Install Water Supply Systems: (Well)
SAC
State Surtax:
Total Amount Paid to City ...........
Fee $
Fee S
Fee S
Fee $
I ee S / ^ ^
Fee %___________
1-ce S___
l-ce S , So
...................Fee $
Code: White File Copy; Canary-Inspector’s Copy; Pink-I inance Copy; Gold-.Applicant’s Receipt