HomeMy WebLinkAbout1979-12-12 Permit, Mechanical #5857City PermitN? 5857
Contractor C-Lz-a Address
Owner Address
State License No.
Parcel No. _
City License No,
GENERAL PERMIT
CUY OF ORONO
Crystal Bay, Minnesota
473-7357 Date
Section No. Lot Block Subdivision
Plat No.
Other Description:
I hereby agree that, in case a pennit 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 $
Install Plumbing Systems: Fee $
Install Sewage 14sposal Systems: Fee S Signat e o applicant
Install Water Hookup: (City) Fee $
!mall Water Supply Systems: (Well) Fee $
SAC Fee $ Sien-;,,,)� : "tty oft ial
State Surtax: Fee $ , SO
Total Amount Paid to City ... ...... Fee $ 1;e), Sd
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt