HomeMy WebLinkAbout1974-05-02 Permit, Water Hook Up #3904village permit N° 3904
Contractor Address --A/ -
Owner Address 6
Statc license No. Village License No
Parcel No
Section NO
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date SLy -7AI
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 additiowl specifications as listed below.
519 741
vy L 6 g';,4 1
Water Meter:
Fee S -a-
Sewer Hookup:
Fee S
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee S
Install Water Hookup:
Fee S 0 '
Install Water Supply Systems:
Fee S
Install Sewer Hookup:
Fee S
U
State Surtax:
Fee S
Total Amount Paid to Village...........
Fee S -- D
Signature of applicant
Signatage re of VillOfficial
C/u1' K C14441—�