HomeMy WebLinkAbout1973-06-07 Permit, Water Hook Up #3666• . . _MWIM�.
State L ense No
Y
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Dam ll Z
Parcel No
Suction 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 wbicls shall be us4 sbaA
comply with the Village Code of Orono applicable thereto, and shall include all additional spatiiations as listed below.
Water Meter: Fee S
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup:
Install Water Supply Systems:
Install Sewer Hooktip-
Fee S
Fee S
Fee S
Fee S O
Fee S
Fee S
State Surtax: Fee S . J V
Total Amount Paid to Village........... Fee S
Signature of applicant
Signature of Village Official