HomeMy WebLinkAbout1973-06-04 Permit, Water Hookup #36571-1
Village Permit ^ • •365?
Contractor.
Owner./S';
/
/.t / /
State License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.
Parcel No»
Section No,Lot Block.Subdivision.
Plat No.
Other Dc'seription:
I hereby agree that, in ease a permit is granted, all work which sliall be done and all materials which shall be used, shall
comply with the Vilbgc Code of Orono applicable thereto, and shall incluoe all additional specifications as listed below.
Water Metff:Ftft? % _ ^___
5<fwtr n(H)kup:Fee S . .
Install Plumbmf Systems:Fw S
InsUti SfWitfe Dihi ^omI System*Fees
Install Water llooiup:Fe* %
Inst»i1 Water Supply System*FW 1
litstatl !Scver titxAim.Fee S . _ _
Slate Suria*Fa* 1 ^
Total .ArROMit Paid to Vdtaof ..................F**17^.^^^
iSignature of applicant
Si^ture of \'iHa|^ OSScal