HomeMy WebLinkAbout1974-12-06 Permit, Water Hookup #4210ao<�
Village Permit Z:
Address , P
State License No. Village License No
L PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Section No Lot Block Subdivision
Plat No
Other Description:
Date_
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 Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems
Install Water Hookup.
Install Water Supply Systems
Install Sewer Hookup
State SUrtat
Total Amount Paid to Village
Fee S
r
Fee S
Pec
Signature of applicant
Signature of Village Official
5 9 y
Fee
S
Fee
S
Fee
S
Fee
S
/
/
Fee
S
Fee
S
Fee S
r
Fee S
Pec
Signature of applicant
Signature of Village Official