HomeMy WebLinkAbout1971-10-07 Permit, Sewer Hook Up #49717 7Y �t r" 1% 'Y 9 ?0
City PermitN? 4971
Contractor /(J�' X�_ Address
Owner 1.-.1.�c kS.nuJ Address cl �O �vtz EST �RnnS
State License No. City License No.
GENERAL PERMIT
CUY OF ORONO
Crystal Bay, Minnesota
473-7357
Date lo' 7-7/
Parcel No.
Section No. Lot Block
Plat No.
Other Description:
Subdivision
6�' •v L°
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 $
Signature of applicant
SAC Fee $ Signatu of City off" 1
State Surtax: Fee $
Total Amount Paid to City ......... ee S D)o . A U�p Q V C LC' 6 R N/4 L CC). (,f L, S s e .CS c' Ag")
D/A is c rX To ,,ppC a K 4 t4 i0 y,(,q I A. iy yy PR& Se`k Ck —
Code: White -File Copy; Canary Inspector's Copy; Pink -Finance Copy; i3o�d5AppU'cant's Re�eip Srt rPlf'rd f o ; aAc TKO. �je 990