HomeMy WebLinkAbout1981-09-01 Permit, Sewer Hook Up #6445City Permit NO 6445
Contractor L� � Address
y
Owner Address y
State License No.
Parcel No.
Section No. _ Lot
Plat No.
Other Description:
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota J
47 ')-735 7
Date
Block. Subdivision
I hereby egree 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:
Sewer Hookup: (City)
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup: (City)
Install Water Supply Systems: (Well)
Fee $
Fee$ 4z•`�
Fee $
Fee $
Fee $
Fee S
SAC Fee $
State Surtax: Fee S
Total Amount Paid to City ......... Fee S
Siga&040 of City official /
Code: WMte-File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt