HomeMy WebLinkAbout1974-11-18 Permit, Water Hookup & Meter #4063Village Permit
Contractor'� Address�
Owner
State License No,
Section No
Other Description:
Parcel No.
Plat No
Address �� 0 If
y33t� — 5;0d 0 0
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Bloc Subdivision
f
Dat < < 1
P q
A �
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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 bt,�vw.
•
I
Village Permit
Contractor'� Address�
Owner
State License No,
Section No
Other Description:
Parcel No.
Plat No
Address �� 0 If
y33t� — 5;0d 0 0
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Bloc Subdivision
f
Dat < < 1
P q
A �
.�
tL
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 bt,�vw.
Water Meter: Fee 7y.. �/
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup:
Install Water Supply Systems:
Fee $
Fee S
Fee $ Signature of applicant
Fee $ ., :o e)
Fee S
Install Sewer Hookup- Fee S
State Surtax: Fee N
Total Amount Pail to Village. ....... Fee S e79
Signature of Village Official