HomeMy WebLinkAbout1979-10-03 Permit, Water & Sewer Hookup #5754City Permit N •O
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Contractor_ w 17>M 6:i2 g dos Address sP�L/rG- 2!?
Owner oNt]sl Sc M MA-p,=-�c� Address 2 q6 Q TLi w o iNn �1
State License No.
Parcel No.
City License No.
GENERAL PERMIT
GTrY OF ORONO
Crystal Bay, Minnesota
473.7357
Section No. _ Lot Block Subdivision
Plat No.
Other Description:
Date l0 - 3 — 729
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.
SAc- :b Peg-^ % -r 11E s7 0
t 2�n 22�?/ /o - 3- t79
Qcl-o-�V 7 Z 3 Z 7S
o
Water Meter: Fee S �Q -o
1 T�
Sawer Hookup: (City) Fee S _ ) 0
Ieatall Musnbi% 3ysi m:
Fee S
hstaa Sawya Disposal Systems:
Fee S
Ia all Water Hookup: (City)
•O
Fee S
hem Water Supply System: (We0)
Fee S
SAC
Fee S
State surtax:
Fee S
Total Amount hid to City ......... Fee S 100 3b
/I ro o 4p t .�
Signature of City official
Cede: Wkit.Faa Copy; Cssaary-laspector's Copy; Mat -Finance Copy; Gold -Applicant's Receipt