HomeMy WebLinkAbout1973-11-15 Permit, Water Hookup #3827.d, ;.rti.�i.y - �(C:�i1a���^AVt•,"�Nt"�i'a?��r�t�'���tt'.*�._-�'� � _ - .r
Village Permit 3827
Contractor ° f i C L l ,4 A-. t Add
Owner C1 Nt hs.vtT c c C 1�e�4� Addrms
414c/-2eAv1. �
State License No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Dary
Parcel No.
Section No Lot Block Subdivision
Plat No
Other Description:
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 `' "�'f)
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup:
Install Water Supply Systems:
Fee S
Fee S
Fee S _
Fee S
Fee S
Install Sewer Hookup: Fee S
State Surtax: Fee $ " J 0
! Total Amotd hid to Villye Fee S
Signature of applicant
Signature of Village Official
40634
r..fi..ar