HomeMy WebLinkAbout1981-09-11 Permit, Sewer Hook Up #6460City Permit N? 6460
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State License No. _ City License No.
GENERAL PERMIT
CITY OF Ori0N0
Crystal Bay, Minnesota
473-7357
Date
Parcel No.
Section No. Lot _ Block Subdivision
Mat No.
Other Description:
1 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 S
Sewer Hookup: (City)
Fee $ '2t7
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee $
Install Water Hookup: (City)
Fee S
Install Water Supply Systems: (Well)
Fee $
SAC
pe
Fee S_
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State Surtax:
Fee $
Total Amount Paid to City . . . . ... . Fee S A!a_ 3v
Signat�Ofappl'nt9-�
Signature of City Of ial
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Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt