HomeMy WebLinkAbout1981-06-15 Permit, Sewer Hook Up #6341City Permit IN? 6341
Contractor _ Address 3 ) A
Owner Address —
State License No. City License No.
Parcel No.
Section No. _ Lot
Plat No.
Other Description:
GENERAL PER:,iIT
GTI'Y OF ORONO
Crystal Bay, Minnesota
473-7357 Date & _ /S-tidc-/
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:
Fee S
Sewer Hookup: (City)
Fee S��
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee $
Install Water Hookup: (City)
Fee S
Install Water Supply Systems: (Well)
Fee S
Signature of applicant, -7
SAC Fee S Signature of City ficia1
b '7
State Surtax: Fee S i —r6
Total Amount Paid to City . . . . . Fee $
Code: White -File Copy; Canary -Ins -or's Copy; Pink -Finance Copy; Gold -Applicant's Receipt