HomeMy WebLinkAbout1976-04-27 Permit, Water & Sewer Hookup #4381s --
Village Permit N° _ 4381
Contractor Address
Owner �Cl %� �'r"1 L7tltCC Address
State Licensc No. Village License No `
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Section No Lot Block Subdivision
Plat No
Other Description:
1 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 ` �-
Water Meter: Fee S
Sewer Hookup: Fee S
Install Plumbing Systems: Fee S _.
Signature of applicant
Install Sewage Disposal Systems: Fee S _ 11
Install Water Hookup: Fee S
Install Water St,j)ply Systems: Fee S
Install Sewer Hookup: Fee S
Signature of Village Official
State Surtax: Fee S
Total Amount Paid to Village.. .... ... Fee