HomeMy WebLinkAbout1973-12-03 Permit, Water Hook Up #3834Village Permit 3834
ContractoAddr�
Owner
Address
State License No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Section No Lot Block Subdivision
Plat No
Other Description:
»ate LL - � — 7 3
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.
40/ ti
Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup:
Install Water Supply Systems:
Install Sewer Hookup:
State Surtax:
Total Amount Paid to Village.
Fee S Ya
Fee S
Fee S
Fee S
Fee S 1�
Fee S
Fee S
Fee S .5 Q
.l
......... fee S Q
CIL
Signature of applicant
Signature of Village Official
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