HomeMy WebLinkAbout1976-12-01 Permit, Water Meter #4715Contractor /t2L.^- .�.'��� � �r Address
Owner
State License No.
City Permit N? 4 715
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Address% fic c�zo
City License No.
GENERAL PERMIT
CHY OF ORONO
Crystal Bay, Minnesota
473.7357
Date
Parcel No
Section No. Lot Block Subdivision
Plat No,
Other Description:
1 hereby agree that, in case a permit is granted, all work which shall be done and alt. materials which shall be used,
shall comply with the City rode of Orono applicable thereto, and shall include all additional specifications as listed
below.
Water Meter: Fee S 4e. OQ
Sewer Hookup: (City) Fee $
Install Plumbing Systems: Fee S
Install Sewage Disposal Systems: Fee S u natu
Install Water Hookup: (City) Fee S�
install Water Supply Systems (Well) Fee S
SAC Fee S Siptature of City Official
Stste Surter Fee S
i
Total Amount Paid to City . .. . . .. . Fee $ djB, is
Code While -File Copy; ('angry -inspector's Copy; Pink -Pittance Copy: Gold -Applicant's Receipt