HomeMy WebLinkAbout1978-05-10 Permit, Sewer Hook UpCity Permit N? 5150
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Address -2`yD 0,11
Owner , r uU c k5ew Address 26o Aprs La
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
Block Subdivision
S- /a - 7 V
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 i!l additional specifications as listed
below.
Water Meter:
Fee S
Sewer Hookup:
O U
Fee S J6
(City)
r
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee S Sig t c of appti
Install Water Hookup: (City)
Fee S
Install Water Supply Systems: (Well)
Fee $
SAC
Fee S SiE�('ity OfC
State Surtax:
Fee S
JC%
Total Amount Paid to City ... ...
Fee S
Code: White -File Copy; Canary -Inspector's
Copy; Pink -Finance Copy: Gold -Applicant's Receipt