Laserfiche WebLink
City Permit No _ 4884 <br />Contractor QON %YTo 061 A Address <br />Owner A6/<< SC/1UL T Z Address �Y C� �/� C,�J VOfy +V <br />State License No. <br />Parcel No. <br />City License No. <br />GENERAL PERMIT <br />CITY OF OftONO <br />Crystal Bay, Minnesota <br />473-7357 Date 7 ` ,2" / _ 7 7 <br />Section No. Lot Block Subdivision <br />Plat No. <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, <br />shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />Water Meter: <br />Sewer Hookup: (City) <br />Ix1W ltumbing Systems: <br />Instal 3ewW Disposal Systems: <br />Instal Water Hookup: (City) <br />Instal Watt supply Systems: (WeU) <br />SAC <br />Fee t <br />Fee $ <br />Fee f <br />Fee = <br />Signature of applicant i <br />/'-) /0/�— <br />Fee f <br />Fee f '^ po <br />Fee f <br />Mate Surtur: Fee f . s <br />Jv <br />Total Amount hid to City ......... Fee f <br />• <br />Cods- Mbit&Fra Copy; Canary -Inspector's Copy; hnk-Finance Copy; Gold-Appticant's Receipt <br />