Laserfiche WebLink
City Nrmit?v? 5262 <br />Contractor LLkELee1 KA f um6t.►iile Address A4 0 AJ M #/ <br />`o2�n VIEW <br />Owner DA,l a C s Address L— <br />a a <br />State License No. <br />Parcel No. <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 / Q <br />Date o <br />Section No. Lot Block Subdivision <br />Plat No. <br />Other Description: <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 />PAC -TEL # 2 G F.3 1 -9 SQ <br />RIC�r►.4E $ 15`52 17 <br />Water Meter: Fee S ba, <br />00 <br />Sewer Hookup: (City) Fee f <br />Install Plumbing Systems: Fee $ <br />Install Sewage Disposal Systems: Fec S S" urc f appli •ant <br />00 <br />Install Water Hookup: (City) Fee f Q.O. <br />Install Water Supply Systems: (Well) Fee S <br />SAC Fee S Signatur• of('ity Offic <br />l__�J- M9.0 <br />State Surtax: I ce S _ , SD -70 C4%Ax <br />Total Amount Paid to City .. . .... . Fee S gn, SV <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />