HomeMy WebLinkAbout1978-05-02 Permit, Sewer Hookup #5143City Permit No 5143
Contractor 1 a /Z_ Al e&l Address
Owner Address :D h �Q
State License No.
Section No.
Parcel No.
Plat No,
Other Description:
City License No.
Cl�`NERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357 S 78
Date
Lot Block Subdivision
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
below.
S.4 C 2 Fe��ZVIZ- -2 7Z- s
A Mop I s - 7 3
Water Meter: Fee S
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Sewer Hookup: (City) Fee S 2o.
Install Plumbing Systems: Fee $
Install Sewage Disposal Systems: Fee S Signature of applicant
Install Water Hookup: (City) Fee $ v e
Install Water Supply Systems: (Well) Fee $
SAC Fee $ i nature o City Officia
State Surtax: Fec S s6
Total Amount Paid to City ......... Fee $ �Q '
Code: White -File Copy; Canary -inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt