HomeMy WebLinkAbout1977-06-20 Permit, Sewer Hookup #4833CityPtennitN? . 4833
Contractor Address
Owner ___________Address ^^ ^ J^y^
State License No..City License No..
GENERAL PERMIT
cm m QRONO
Crystal Bay, Minnesota
473.7357
Date ^ ^ ^
Parcel No.
* â– ;'
r Section No.,Block. Subdivision.
Plat No.
Other Description:1
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 i .
lutal SewiSB DIvonI Systemt:
ImtaO Water Hookup: (City)
Feet
Fees
Sifiutuie oC^eppUcant ^
InnaO Water Supply Systemt: (Well) Fee $
SAC
State Surtax:
Fees
Fee S « 6 O
Total Amount Paid to Qty..................Fee S
Code: WMte-File Copy; Canary-Inipector’ft Copy; Pink-Finance Copy; GoM-Applicant*t Receipt