HomeMy WebLinkAbout1976-08-27 Permit, Water & Sewer Hookup #4578Contractor
Owner
Village Permit N° 4578
Address
Address .� -%C'eo
'
State License No. Village License No
Parcel No.
Section 00
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Lot
Crystal Bay, Minnesota
Blick_ Subdivision
Date�� 1 ��
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
eter:
Sewer Hookup
Install Plumbing Systems -
Install Sewage Disposal Systems -
Install Water Hookup
Install Water Supply SvAcIns
Install Sewer Hcx)kup.
State Surtax
Foetal Amount Paid to Village
Fee S
Fee S
e', C
_ 1(
Fee
Fee S
Fee S _L, Z 'r_C�'._. �
FCC S -----
Fee $
Signature of applicant
S'qu
tute 0) wage. official