HomeMy WebLinkAbout1976-09-13 Permit, SAC #4603C'`'' Per"'` N. 4603
Contractor Address
Owner �/ w H Ra 14fQ�� EG` Address SD L�ANL RO.4 n
State License No,
Parcel No
City License No.
GENERAL PERMIT
CPl'Y OF URANO
Crystal Bay, Minnesota
473-7357
Date
Section No. Lot Block
Plat No.
Other Description:
Subdivision
9-/.3 -76
l 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.
Water Meter:
Sewer Hookup: (City)
Install Plumbing Systems:
Instaa Sewage Disposal Systems:
Install Water Hookup: (City)
Fee S
Fee $
Fee S
Fee S
Fee S
Imtall Water Supply Systems: (Well) Fee $ _ V
SAC Fee S • O� Signs a pf frig i ' 1
State Surtax: Fee S
Total Amount Paid to City ......... Fee S 3 O.Oa
Code: Wldta-File Copy; Canary -Inspector's Copy; Pink -Finance Copy; GW-Applicant's Receipt