HomeMy WebLinkAbout1973-07-30 Permit, Water & Sewer Hookup #3741Village Permit 3741
Contractor t,x Address_
:�4aOwner Address
Slate License No
Parcel No.
Section No
Plat No
Other Description:
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date '� ` -7
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.
Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems
Fee S YG'
Fee S ern
Fee S
Fee S
Install Water Hookup: Fee $ 00
Install Water Supply Systems: Fee S
gstall Sewer Hookup: Fee S
State Surtax: Fee S
Total Amount Paid to Village........... Fee 5
Signature of applicant
Signature of Village Official