HomeMy WebLinkAbout1977-06-20 Permit, SAC #4837s
,'^.r City Permit N?4837
Contractor
Owner
Address.
Address.^^o7o
State License No.City License No.,
GENERAL PERMIT
CITY (*■ ORONO H
i-.
' : 'VH
'i.
Crystal Bay, Minnesota
473-7357
Date.^ ~^a -77
Parcel No_____
Section No__________Lot.Block.Subdivision.
Plat No.
Other Description:
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used,
lartafl numbiag Syitems:
butal Sewage DiipoMl Sy ttemi:
bsta Water Hookup: (City)
luataB Water Supply Syeteuu: (Well)
SAC
State Surtax:
Total Amount Feld to aty............
Feet
Fees
Fees
Fees
SignaU|m of applicant
Fees 37SUfO
Fees__________
Fees
Code: WUto-Fge (7opy:Canary-Inqiector ’s Copy; Pink-Finance Copy; Gold-Applicant’s Receipt