HomeMy WebLinkAbout1981-10-22 Permit, Sewer Hook UpCity Permit N° 6513
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Address
LOPJ6 LAB
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Owner_, . R . STttJ Sn
Address
1 34O Vox
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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 r/J _ 42a _ S 1
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.
q- 2-Si
Water Meter:
Fee S
Sewer Hookup: (Ct'v)
O G
Fee $ Q ,
Install Plumbing Systems:
Fee $
Install Sewage Disposal Systems.
Fee S
Install Water Hookup: (City)
Fee $ _
Install Water Supply Systems: (Well)
Fcc $ _
SAC
Fee $_
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State Surtax:
Pee S •
Sigrt�Ce o applic t
Signat re oWity O(tici _
Total Amount Paid to City . ... . ... . Fee S o90 1-5-4
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Cepy, Gold -Applicant's Receipt