HomeMy WebLinkAbout1979-06-27 Permit, Sewer Hook Up #5621City Permit _ ? 562
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State License No.
Parcel No.
Section No. Lot
Plat No.
Other Description:
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473 7357 Date 92 7Z75'
Block Subdivision
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.
LC
Water Meter:
Pee S —
Sewer Hookup: (City)
o a
Fee $ Z t7 .
Install Plumbing Systems:
Fee S
InN all Sewage Disposal Systems:
Pee S
Install Water Hookup: (City)
Pee S
Install Water Supply Systems: (Well)
Pee S
Stgndture�,j t
SAC Pee S `/signature of City 0n, /
State Surtax: Fcc S . �
J U
Total Amount Paid to City .. . . ... . Fee S _ ZG
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt