HomeMy WebLinkAbout1973-07-25 Permit, Water & Sewer Hookup #3727a• S .a. its-:qp ..N+. i:.�NYf r ln"
Contractor_ / � Addrese
Owner_ e 1/l Q-j(,1A e / , Address F
Statc Licensc No. Village License No
Section No
Parcel No.
Plat No
Other Description.
0
Ville" Pena 3727
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date `/ ✓ —
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.
_ 1 C 'a —
Water Meter: Fee S
Sewer Hookup:
Fee S
Install Plumbing Systems:
Fee S
Install Sew•.I,c 11, 1`.�sai Systems:
Fee S
Instal: Water Hookup:
1
Fce S C L'
Install Water Supply Systems:
Fee S
Install Sewer Hookup:
Fee S
Stat, Surtax:
Fee S / ' n 67
Total Amount Paid to Village......
Fcc S�
Signature of applicant
Signature of Village Official
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