HomeMy WebLinkAbout1981-05-01 Permit, Water Supply #6309City Permit N? 6309
Contractor STEVt5N S ALL Address Aki0aZt- RI-AIAJ
Owner 0-) Woy- .e - Address 4010 1)E% tom'' a k I r.
State License No.
Parcel No.
Section No. Lot
Plat No.
Other Description:
City License No.
GENERAL PERMIT
Cff Y OF ORONO
Crystal Bay, Minnesota
473.7357
Block Subdivision
Date
s--/ -Y(
• 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.
Water Meter: Fee f
Sewer Hookup: (City) Fee $
Install Plumbing Systems: Fee $
Install Sewage Disposal Systems: Fee f Si` tun f applicant
Install Water Hookup: (City) Fee f
''stall Water Supply/ Systems: (Well) Fee S eCD .
SAC Fee $ Si afore o City Offic
State Surtax: Fee $ 1-5-0
Total Amount Paid to City ......... Fee f ao , sr-6 -
Code: White -File Copy; Canary -inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt