HomeMy WebLinkAbout1977-07-07 Permit, Sewer Hook Up #4864Contractor
Address
Owner- Address
Address
State License No.
Parcel No.
City Permit.N, ? 4864
City License No.
GENERAL PERMI
CPl'Y OF ORONO
Crystal Bay, Minnesota
473-7357
Section No. Lot Block Subdivision
Plat No.
Other Description:
Date Z - % - 7
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 )deter: Fee $
Sewer Hookup: (City) Fee S�
Install Plumbing Systems: Fee S
Ir-tall Sewage Disposal Systems: Fee S Signature applicant t
Install water Hookup: (City) Fee S
ISKA water Supply Systems: (well) Fee S
SAC Fee S Signature of City Offic'
State Surtax: Fee $ t
Total Amount hid to City ......... Fee $
Code: white -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt