HomeMy WebLinkAbout1973-04-19 Permit, Sewer Hook Up #3894Village Permit N° 3894
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Contractor - Q Address
Owner. "--a'�'r'r I1.N/3 a �t�� Address
State License No
Parcel No.
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date / I — 1 k
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 Ml eter: Fee S
Sewer Hookup: Fee S
Install Plumbing Syst—ns: Fee S
Install Sewage Disposal Systems: Fee S
Install Water Hookup: Fee S
Install Water Supply Systems: fee S
Signature of applicant
Install Sewer Hookup: Fee S 1(0,6 J
J Signature of Village Official
State Surtax: Fee S / [ /�
Total Amount Paid to Village. .. ... Fce S r /` ��