HomeMy WebLinkAbout1976-07-21 Permit, Sewer & Water Hook Up #4506L
Village Permit N° 4506
0
Contractor / y�s�/� Address
Owner _ Address
State License No.
Parcel No.
Section No
Plat No
Other Description:
Village License No
GENERAT_, PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date
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:
Install Water Hookup:
Fee S
Fee S
Fee S
Fee S Signature of applicant
Fee S
Install Water Supply Systems: Fee S
Install Sewer Hookup: Fee S
State Surtax: Fee S Ze CQn
Total Amount Paid to Village.... ...... Fee S .56 " e e)
Signature o Villa pOfficial