HomeMy WebLinkAbout1975-12-04 Permit, Water & Sewer Hookup #4292Village permit N° 4292
Contractor ' '��ti'''` `'�� Address
Owner ��.4 l L -t" �� o ,lt �C z'-- Address / . '�-
State License No. Village License No
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date 1A - Al —7 5—
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.
Water Meter: Fee S E
Sewer Hookup: Fee S
Install Plumbing Systems:
Install Sewage Disposal Systems
Install Water Hookup:
Inst -ill Water Supply Systems:
Install Sewer Hook, p:
Slatt, Surtax.
Total Amouit Paid to Village
Fee S
Fee S
Fee S J
Fee S
Fee S _
Fee S / C C
Fee S r