HomeMy WebLinkAbout1978-06-27 Permit, Sewer Hookup #5222City Permit 5222
Tnntractor ^Igftg
n»n«r T)^U/L- ________
State License No._______
Address
4^70 t^AUL. Rb.
City License No..
4
GENERAL PERMIT
cm OT ORONO
Crystal Bay, Minnesota
473-7357 nat«» C *2^*7
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,
Shan comply with the Qty Code of Orono applicable thereto, and shaU include all additional specifications as listed
below.
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Water Meter;Feet
Sewef Hookup: (City)Fees
Initall Plumbinf Syttems:Fees
butaD SewifB DiqMeel Syitems;Fees
laitaB Water Hoolnqi: (City)Fees
luitaD Water Siqiply Systeim: (WMl)Fees
SAC Fees
State Surtax:Fees
Total Amount Paid to CHy............... . Fees
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Code: White-File Copy; Caaary-Inipector’t Copy: Plnk-Finence Copy; Gold-Applicaiit*i Receipt