HomeMy WebLinkAbout1981-07-24 Permit, Sewer Hook UpCity Permit Ne 6389
Contractor % Address _
Owner_ Q Address
State License No.
Parcel N-
Section No. Lot
Plat No.
Other Description:
City License No.
GEN11"RAL PERMIT
CP!'Y OF ORONO
Crystal Bay, Minnesota r�
473-7357 7� )C�'
Date
Block Subdivision
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)
Fee S
Fee $
Fee S
Fee $
Fee S
Fee $
i SAC Fee $ Q
State Surtax: Fee $ _-_t_�
Total Amount Paid to City . .. . . ... . Fee S 41 1S_1 L
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt