HomeMy WebLinkAbout1979-09-18 Permit, Water Meter #5723isr
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City Permit N9 5723
Contractor_]^I^E=^y\^-----
Owner "Hryxie^ kl<g^vjO~fo»"
Address AJa U ________________
Ad dress f^redricIC----
State License No..City License No.f
GENERAL PERMIT
dry OF ORONO
Crystal Bay, Minnesota
473-7357 Date.l^-TF
Parcel No--------
Section No.___________ Lot.Block.Subdivision.
Plat No.
Other Description:
I hereby a?ree that, in case a permit is granted, all work which shall be done and all materials which shall be used, J
shall compl/ 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)
SAC
State Surtax:
Fees
Fees_____
Fees_____
Fees_____
Fees
Fees
Fees
Fees
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J20.60 j
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Signature of City Off]
Total Amount Paid to Gty.......................Fee S ^0»----------
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Code: While-File Copy; Canary-Inspector’s Copy; Pink-Finance Copy; Gold-Applicant’s iteceipt