HomeMy WebLinkAbout1979-07-25 Permit, Sewer Hookup #5649City Permit N? 5649
Contractor A \ Address S.2 d Ae
of
Owner C Y At- 13 j 6 / w. address_ KQ .3 c) /.
State License No. u� City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
Parcel No.
Section No. Lot Block Subdivision
Plat No.
Other Description:
Date 7 — ;? 5 — 71
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 S
Water Meter: Fee S
Sewer Hookup: (City) Fee $ !j A
lastall Plumbing Systems: Fee t
Instal Sewage Disposal Systems: Fee s signature ca
Instal Water Hookup: (City) Fee f
Install Water Supply Systems: (Well) Fee $
SAC Fee f Signature of City Of cial
State Surtax: Fee $ SO
Total Amount Paid to City ......... Fees a a
Code: White -File Copy; Canary -inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt