HomeMy WebLinkAbout1973-06-24 Permit, Sewer Hook Up #3677�. ._._. .� .-..—•{g�.��1''�.�•i� ._ .!w' :^�'�•�!�l.�l'!"', r,.t.��c.�n,_.R,�„�,.�..�..r.�.__....:-,..rw....�+�;.a"�I
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Contractpr V� Q Addt
Owner "I J, Address � � ✓� !��'� C-- f L IL
Statc License No. Village License No
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date k 11 (/ — 7
Lot Blob Subdivision _
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall Ix u.:i, 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 $
Fee S
Install Water Supply Systems: Fee S
Install Sewer Hookup: Fee S
State Surtax: Fee S
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Total Amount Paid to Village........... Fee S , ! . S n
Signature of applicant
Signature of Village O>lficial