HomeMy WebLinkAbout1981-11-10 Permit, Sewer Hook Up #6547City Permit No 6547
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State License No.
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357
Parcel No.
Section No. Lot Block Subdivision
Plat No.
Other Description:
Date 11—ld _�/
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 S 'Z a o
Install Plumbing Systems:
Fee $
Install Sewage Disposal Systems:
Install Water Hookup: (City)
Fee $
Fee $
Signature pf applicanj
y
Install Water Supply Systems: (Well)
Fee S
SAC
State Surtax:
Fee $
Fee $ SD
Sig Cit Ofl'i ' 1 '
Total Amount Paid to City .........
Fee $U
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold-Appticant's Receipt