HomeMy WebLinkAbout1981-07-28 Permit, Sewer Hook Up #6397City Permit N 9 6397
Contractor EA�C_L .�'�1 4 S ti! Address W h LA
Owner L( `1 t? Address
State License No.
Parcel t1o.
City License No
GENERAL PER,oIIT
CITY OF ORONO
Crystal Bay, Minnesota -2 k2
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.
Water Meter:
Fee $
Sewer Hookup: (City)
Fee $ 1-1_
Install Plumbing System ,:
Fee S
Install Sewage Disposal Systems:
Fee S
Install Water Hookup: (City)
Fee S
Install Water Supply Systems: (Well)
Fee $
SAC Fee S 42 S-, 00
State Surtax: Fee $ 1 tQ
Total Amount Paid to City . .. . .... . Fee $ _ S-0
Code: White - File Copy; Canary Ins)xctor's Copy; Pink -Finance Copy; Gold-Apalic__._
Signature of applicant