HomeMy WebLinkAbout1978-10-26 Permit, Water Hook Up #5382City Permit.N? 5382
ContractorAddress 4,JOY
Owner Address
State License No.
Parcel No.
Section No. Lot
Plat No.
Other Description:
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
Block Subdivision
Date
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:
Sewer Hookup: (City)
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup: (City)
Install Water Supply Systems: (Well)
►a�93/Js.3
Fee S � '� `�
Fee $
Fee S
Fee S
Fee S aO'
Fee $
Signature oo appti t
SAC Fee S Signa ity Official /
State Surtax: Fee $ 51-0 (~/
Total Amount Paid to City . ... . ... . Fee $ �' S0
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt