HomeMy WebLinkAbout1979-01-25 Permit, Water Hookup #5618'<4
City Permit N?5618
Contractor tOlLrivtgag. S^j^nS^Address
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Owner Ad dress C^.A<rc/p I
State License No.City License No.
GENERAL PERMIT
crry 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.
Ai.£T>i^ itt ^^7/
^ /?JZ VA
Water Meter;
Sewer Hookup: (City)
In»taU Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup; (City)
Install Water Supply Systems: (Weil)
SAC
State Surtax:
Fee S (pO
Fees_____
Fees______
Fee S_______
Fee S 2-0
Fee S______
Fees______
Fees
■xre»
Total Amount Paid to City ......................Fee S 60 aro
Code; White-File Copy; CiUuryTnipeetuf'i Copy ; Fink-Finance Copy ; Gold-Applicant ’s Receipt