HomeMy WebLinkAbout1981-06-26 Permit, Sewer Hook Up #6358City Permit Na 6358
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Address
Owner JAme r.
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State License No.
Parcel No.
Section No.
Plat No. _
Other Description:
-City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473.7357 (' Z (a
Date
Lot 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 $
Sewer Hookup: (City)
00
Fee $ 20
Install Plumbing Svitems:
Fee $
Install Sewage Disposal Systems:
Fee S _
Install Water Hookup: (City)
Fee $ _
Install Water Supply Systems: (Well)
Fee S
SAC
Fee S
so
State Surtax:
Fee S
SignatureE* ( %�
Signature of City 0 icial
CD
S�
Total Amount Paid to City ... . . . Fee S
Code: White -File Copy: Canary -Inspector's Copy; Pink -Finance Copy, Gold -Applicant's Receipt