HomeMy WebLinkAbout1981-11-12 Permit, Sewer Hookup #6552City Permit N° 6552
Contractor .�Aae. YJ ' ��' �`'�'�r .1,✓iC- Address 52-0 AAf-,#A
Owner 117A.N Af Address _1 Z 3y !%c �c�so-✓ fd/�y
State License No. - znk-_5 _ City License No. `7S-i
Parcel No.
Section No. Lot
Plat No.
Other Description:
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357 // //'' ' /
Date 'Vat)
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.
G T , Alt .�..zZ �.vy►_
Water Meter:
Fee S
Sewer Hookup: (City)
Fee S U UL%
Install Plumbing Systems:
Fee $
Instatl Sewage Disposal Systems:
Fee $ Sig �fap t�
Install Wate• Hookup: (City)
Fee $ CL.'
Install Wat.:r Supply Systems: (Well)
Fee S
SAC
Fee $ S. W Signature of City Official
State Surtax:
Fee $ �0'►►_ �l �_
Total Amowit Paid to City .........
Fee $ 1 5 50
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt