HomeMy WebLinkAbout1973-12-03 Permit, Water Supply System #3842Village Permit - 3842
Contractor G -1 Add 1
Owner it z i' Address
State License No. Village License No
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
I hereby agree that, in case a permit is granted, all work which shalt be done and all materials which shall be us4 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 S wage Disposal Systems
Install Water Hookup:
Install Water Supply Systems:
Fee S
Fee S
Fee S
Fee $
Fee $
Fee S
Install Sewer Hookup: Fee S
State Surtax: Fee Sn
Total Amount Paid to Village........... Fee S
Signature of applicant
Signature of Viliage Official
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