HomeMy WebLinkAbout1976-09-14 Permit, Water Meter #4607Contractor
Address
Ae
Owner ' ' l J Address- �� I Y
6W
State License No. C' L' N
City Permit jv0 4607
Ity lcense V.
GENERAL PERMIT
CITY OF ORANO
Crystal Bay, Minnesota
473-7357
Date
Parcel No.
Section No. Lot Block Subdivision
Plat No.
Other Description:
9--i�Z-766
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.
- :A-- 70 3 .27,
�74r?_:Z; - -4.1 a5 a s� 00i1
Water Meter: Fee S 60.0c)
Sewer Hookup: (City)
Fee $
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee S
Install Water Hookup: (City)
Fee $ 1-6-0o
Install Water Supply Systems: (Well)
Fee $
SAC
Fee S
Signature of applicant
1
Signature of City Off'
State Surtax: Fee S
Total Amount Paid to City ......... Fee $
Code: White -File Copy; Canary -Inspector's Copy; Pir.k-Finance Copy; Gold -Applicant's Receipt