HomeMy WebLinkAbout1981-09-02 Permit, SAC #6446Contractor
Address
City Permit N? 6446
Owner 6- , 'e. ST t In -,:�n rJ Address FO r< ST
State License No.
Parcel No,
—City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Pay, Minnesota
473.7357
Date / c�
Section No. Lot Block Subdivision
Plat No.
Other Description:
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 specific, tions as listed
below.
Water Meter: Fee S _
Sewer Hookup: (City) Fee $
Isistall Plumbing Systems: Fee S
install Sewage Disposal Systems: Fee S _ Signa rc of 49,
ran _
Install Water Hookup: (City) Fee S _
Install Water Supply Systems: (Well) Fee S
SAC Fee S Z S Oo r Si, vial
State Surtax: Fee S
Total Amount Paid to City ......... Fee S
Code: Whit&File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt