HomeMy WebLinkAbout1978-08-20 Permit, Water Meter #3986Contractor
Owner
Address—
161 Address
Village Permit NOO 3986
State License No. Village License No
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal filly, Minnesota
Dat �'-If
Lot Block_______ Subdivision
I hereby agree that, in case a permit is granted, all
work which
shall
be dons:
and all materials which shall
be used, shall
comply with the Village
Code of Orono applicable
thereto, and
shall
include
all additional specifications as
listed Wow.
Water Meter: Fee S
Sewer Hookup: Fee S
Install Plumbing Systems: Fee $
Install Sewage Disposal Systems: Fee $
Signature of applicant
Install Water Hookup: Fee $ __ 0
Install Water Supply Systems: Fee $ _
Install Sewer Hookup: Fee S
Signature of Village Official
State Surtax: Fee S
Total Amount Paid to Vill;ige .... Fee S