HomeMy WebLinkAbout1973-11-26 Permit, Water Hookup #3831W- 7TV77%
Village Permit 3831
ContractorAddress
Owner9Address rpt P
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
I hereby agree that, in case a permit is granted, all work which shall be done and all mate:iaAs which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
v�7A7 �S
Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup:
Insall Water Supply Systems:
Install Sewer Hookup:
Fee 5
rC
Fee S
Fee S
Fe S
fee S
_ '�r 442 d
Fee $_
Fee S
State Surtax: Fee S ,
Total Amount Paid to Village........... Fee S 1 -? '
Signature of applicant
Signature of Village Official