HomeMy WebLinkAbout1979-04-24 Permit, Install Water Supply System #5536Contractor
Owner
GLS
Address
Address
State License No. City License No.
Section No.
Parcel No.
Plat No.
Other Description:
1V6
City Permit 4
0
GENERAL PERMIT
CM' OF ORONO
Crystal Bay, Minnesota
5536
P,
473-7357 Date Y—ZV-
7�1
Lot _ Block Subdivision
s.Cc-
�17 -Z3
S0 N w SW
I --
I hereby agree that, in case a permit is granted, all work which shall a d<�ne and all materials whish shall be used,
shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
e
Water Meter:
Sewer Hookup: (City)
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup: (City)
Install Water Supply Systems: (Well)
Fee S
Fee $
Fee $
l-ee S
d�O
FCC S --
SAC 1ccS
State Surtax.-
Total
urtax:"Total Amount Paid to City . . . . . . . . . Vee S '
-Sr�r�at� a -►1 i i�ir� ;,nt
Signature of City Offici�l
�1 i�
('.)de: White; -bile Copy -1 ( anary-Inspector'% ( opy .- Pink+inance Copy, hold -Applicant's Recertl,