HomeMy WebLinkAbout1977-08-23 Permit, Water Supply System #4917Contractor f� L L/ E N '_:5 UJ E L L ' _ Address
Owner
State License No.
Parcel No.
Section No._ Lot
Plat No. _
Other Descrip'ion:
City PermitN? 4917
Address ' n
City License No.
GENERAL PERMIT
CM OF ORONO
Crystal Bay, Minnesota
473-7357
Block Subdivision
Date ,3 — �2_3 —77
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 S
Sewer Hookup: (City)
Fee S
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fcc S
tii net applicant
Install Water Hookup: (City)
Fee S
• V� `�
Install Water Supply Systems: (Well)
Fee S_
SAC
I ce S
Si City O(ft.
State Surtax
Fcc S , JD
,K -e)
Total Amount Paid to City . .. . Fee S LAU
Code: White -File Copy, Canary-Inspectur's Copy: Pi,ik-Finance Copy: Gold -Applicant's Receipt