HomeMy WebLinkAbout1977-07-15 Permit, Water Meter #4874City Permit N? 4874
Contractor Address
Owner a,, Address
State License No
Parcel No.
Section No._ Lot
Plat No.
Other Description:
City License No,
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
Block Subdivision
Date
7-1-5--77
1 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 Melt- It(�
Fee $
Sewer Hookup: (City)
Fee $
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee S
Install Water Hookup. Wity)
Fee S
Install Water Supply Systema IRelh
Fee S _
SA(
Fee $
State Surtax.
I ee S
tiiyn�tr� cant - —
,/A 1//j
Signature of CAAy (jtfi -LAI
Total Amount Paid to City . .. . . .. Fee S _.0, Cj -
Code' White -File Copy; Canary -Inspector's Copy. Pink -1 mance Cupy; Gold- Appitcan I's Receipt