HomeMy WebLinkAbout1974-05-07 Permit, Sewer & Water Hookup #3908Village Permit
ContractoAddress
Owner ( l Fle46 Address
State License
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date -
Parcel No. r
Section No Lot Blocrt Subdivision
Plat No IV
Other Description:
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 additional specifications as listed below.
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is) A!20o'� �7
37Sq -7
Water Meter: F 3/� ' Fee S
Sewer Hookup: Fee S n
Install Plumbing Systems: Fee S
Install Sewage Disposal Systems: Fee S c Signattt—vcliof applicant
Install Water Hookup: Fee S
Install Water Supply Systems: Fee S
Install Sewer Hookup: Fee S
Signature of Village Official
State Surtax: Fee S//
Total Amount Paid to Village........... Fee S_C Al
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