HomeMy WebLinkAbout1979-06-07 Permit, Sewer & Water Hookup #5590City Permit N 9 5590
Contractor D /In 4E.-c— jRkU S . Address SIN& � AeK
Owner �'� Sk-, " ' Address 3yS 7
State License No.
Parcel No.
City License No
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
Section No. Lot Block Subdivision
Plat No.
Other Description:
Date �,— 7` 7 9
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 Orona applicable thereto, and shall include all additional specifications as listed
below.
SA
G- 7-7
Water Meter: Fee S
so
Sewer Hookup: (City) Fe•; S
Install Plumbing Systems: Fee S
Install Sewage Disposal Systems: Fee $ Sig n%%t uc app cant
Install Water Hookup: (City) Fee S i�
Install Water Supply Systems: (Well) Fee S
SAC Fee S Signature of Cit ffici
eo �
State Surtax: Fee $
elf>
Tout Amount Paid to City . .. . . .... Fee S !O.
Code: White -File Copy, Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt