HomeMy WebLinkAbout1977-11-22 Permit, Water Hookup #5020City Permit Ni 5020
Contractor Address
Owner Address
1�
State License No. City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
Date
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,
shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
Water Meter:
Fee S
Sewer Hookup: (City)
Fee $
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee $
Install Water Hookup: (City)
Fee $_
Install Water Supply Systems: (Well)
Fee $
SAC
Fee $
Slate Surtax:
Fee S _
'total Amount Paid to City . .. . . ...
. Fee S _
Code: White -File Copy; Canary -Inspector's Copy: Pink -Finance Copy; Gold -Applicant's Receipt