HomeMy WebLinkAbout1978-08-21 Permit, Water Supply System #5288Contra
Owner
e_1__.1
Address
Ad dress
City Permit Na 5288
U
State License No. City License No.
GENERAL PERMIT
CM OF ORONO
Crystal Bay, Minn -.sora
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: Fee $
sewer Hookup: (( ity) lee S
Install Plumbing Systems Fee S
Install Sewage Di4N)sai :;ystr _ ! ee $ signature of applicant
Install Water Hookup: (City) I ee S —
Install W'wet Supply Systems (Well) ! ee $
SA( ! ee S St mt urc City Uff I 1A
State S U f t it t U ee '� I �l� --�-_......_ _�----•-...
Total Amount Paid to (Ity ) rt( � *
Code White -title ((►pr,t angry lnsl���t,�r'� ( �111V Pink I Enarii.r ( (PV Gold Applie.antRe.-eIpt