HomeMy WebLinkAbout1981-03-26 Permit, Sewer & Water Hook Up #6284City Permit N° 6284
Contractor V-JE=. - Address a �s
O f�is
Owner PA.2k&az3�A"A' Address
State License No,
Parcel No
City License No.
GENERAL PERMIT
CPI'Y OF ORONO
Crystal Bay, Minnesota
473-7357
Date
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.
U �� �► . ��_ a 9.3 a 5 � ��-
Wats►r Meter: S- Fee S I — • U40
Sewer Hookup: (City) Fee S 010 , 40
togall Plumbing Systems: Fee S
Instal Sevmp Disposal Systems: Fee S
Instal Water Hookup: (City)
Install Water Supply Systems: (Well)
SAC
State Surtax:
Total Amount Paid to City .........
Fee f A 6 . V V
Fee S
Fee S
Fee S o
4-0
Si u f appliont
Signature of City O tcial
Code: Wldte-Fik Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt