Laserfiche WebLink
Contractor <br />Address <br />City Permit N? _ 6438 <br />Owner_ lJruc�,_ :Qg: iZ1k%j LAIZ (L Address 5796 3P, -e677_ - A v C <br />State License No. City License No. <br />GENERAL PERMIT <br />CPrY OF ORONO <br />Crystal Bay, Minnesota <br />473.7357 <br />Date <br />Parcel No. <br />Secti-n No. Lot Block Subdivision <br />Plat No. <br />Other Description: <br />8 -31 -Fe <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, <br />shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />Water Meter: <br />FCC S <br />Sewer hookup: (City) <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee $ <br />Install Water hookup: (City) <br />Fec $ <br />Install Water Supply Systems: (Well) <br />Fee $ <br />SAC <br />Fee $ <br />State Surtax: <br />Fee $ <br />Total Amount Paid to City ......... <br />Fee S <br />igna r of applicant ,r ' <br />Sig�of <br />Code: White -File Copy; Canary-Inspectot's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />