HomeMy WebLinkAbout1976-04-09 Permit, Water Meter #435907
L ./ of • - / / - -�
Contractor _ Address -
Owner
Village Permit
N4 4359
Address
State License No. Village License No
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF OROMO
Crystal Bay, Minnesota
Lot Block Subdivision
Date . .... �� —.,07e
1 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.
a
Water Meter: Fee 5
Sewer llookUj):
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install W'att-r hookup:
Install Water Supply Systems.
Install Sewer Hookup -
State Surtax
Teta) Amount Paid to Villagc
Fee S
Fee S
Fee S
Fee S 2--e-
Fee
-e-
I=ee S
Fc'c S
Fee S
.r,
12
Signature of applicant
Signature of Village Oficial