HomeMy WebLinkAbout1978-02-13 Permit, Water Meter #5081City hrrnitN' 5081
Contractor 22: L2,�'LN 1�i-� Address
Owner �i4'I'�r'X_�LG'Address_��'
State License No.
Parcel No.
Section No. Lot
Plat No.
Other Description:
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota Gr
473-7357 Date ,,r —J3 M 7a
Block Subdivision
I hereby agree 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.
O. t�
Water Meter: Fee S
Sewer Hookup: (City)
Install Plumbing Symms:
Install Sewage Disposal Symms:
Install Water Hookup: (City)
Install Water Supply Systems: (well)
Fee $
Fee S
Fee $
Fee S
Fee S
Signal,WXA applicant
. 6�_ Z�
SAC Fee S Si a of City Official
State Surtax: Fee S
Total Amount hid to City ......... Fee S
62 0- CJp
Code: WYte-File Copy; Cawy-Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt