HomeMy WebLinkAbout1979-06-11 Permit, New Water Well #5592City Permit lv'O 5592
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State LicensK . City License No.
GENERAL PERMIT
CITY OF ORONO
f'rystal Bay, Minnesota
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 worx 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.
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Water Meter:
Fee S
Sewer Hookup: (City)
FCC $ _
Install Plumbing Systems:
Fee $
Install Sewage Disposal Systems:
Fee $
signature ,f icr fit
Install Water Hookup: (City)
Fee S—
Install Water Supply Systems: (Well)
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Fee S 2n
SAC
Fee S
Si • rc of City O' 'cial %
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State Surtax:
Fee S
Total Amount Paid to City ... . ....
Fcc S
Code: White -File Copy; Canary -Inspector's Copy: Pink -Finance Copy: Gold•Applicant's Receipt