HomeMy WebLinkAbout1975-12-01 Permit, Water Hookup & Meter #4289CContractor
State License No
Section No. --
Plat
o. —
Other Description:
Village Permit
'A
Ne 4289
Village License No
GENERAL PERMIT
Parcel No. —
Plat No—
VILLAGE OF ORONO
Cr},stal Bay, 'Minnesota
Lot— Block__ Subdivisi
Date lob --/.- 7S
I hereby agree that, in case a perTnit is granted, all work which shall be done and all materials which shall Lt- 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 Su"ply Systems:
Install Sewer Hookup
State Surtax
Total Amount Paul to Village
Fee S ( C
Fee S
Fee S
Fee S
Fee S l,J C
Fee S
Fee S
Fee S to
Uee� J�
Signature of applicant
Signature of Village Official
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