HomeMy WebLinkAbout1980-06-16 Permit, Convert Heating to GasCity Permit 6011
Contractor_____
Owner \)e,^J^
Address _
Ad dress /CAf^Ca u.
State License No.City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357 Date IG
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.
i\ /O Cs>
Water Meter:Fees
Sewer Hookup: (City)Fees
Install Plumbing Sys ns:Fee S
Install Sewage Disposal Systems:Fees
Install Water Hookup: (City)Fee S
Install Water Supply Systems: (Well)Fees
SAC Fees
State Surtax:Fee $
Total Amount Paid to City .................Fee S ^ ^
Code: White-File Copy;Canaiy Inspeclor*s Copy; Pink-Finance Copy;Guld-Applkant’i Receipt