HomeMy WebLinkAbout1973-06-26 Permit, Water Hook Up #3681Village Permit - 3 � 81
Contractor Address c'' 'i'l �1-�
Owner 6LI17 - 1_Address
State License No
Parcel No.
Section No
Plat No
Other Descrilkion:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date c/ _
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.
37 mil/ � i
Water Meter: Fee S _i - nZ.�
Sewer Hookup:
Fee S
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee S
Install Water Hookup:
Fee $ / •2l
Install Water Supply Systems
Fee S
Install Sewer Hookup:
Fee S
State Surtax:
Fee S S C)
Total Amount Paid to Village...........
Fee S 7 u
ture of applicaitt--
i
Signature of Village Official