HomeMy WebLinkAbout1979-06-13 Permit, Water Supply #5604City Permit N? 5604
Contractor Address Alw 40
kA
Owner 6[.AE?1 _9rKYT3E Address 282C> ?Ep"AELA2
State License No.
Parcel No.
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357 Date �o 7 / — / /A— 2-n
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.
No wn Qs- oAj L1J 6l L m-t+ xr � tAN?' / L B N /L-njA1 C, 114mrw 1 r
l S N I/S�SE'p ,
C...—b p y
Water Meter: Fee $
Sewer Hookup: (City) Fee $
Install Plumbing Systems: Fee $
Install Sewage Disposal Systems: Fee $ S nat e an6rit
Install Water Hookup: (City) Fee $
Io
Install Water Supply Systems: (Well) Fee $ 240
SAC Fee $ _Signstur�of City Official
s
State Surtax: Fee $
Total Amount Paid to City ......... Fee $ 2.
Code: White -Fib Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt