HomeMy WebLinkAbout1974-10-18 Permit, Water Hook Up #4037Village Permit 4 -93 7
ContractoAddress
Owner--
wner Address ��% L'-4
State License No._ . Village License No
Parcel No
Section No
Plat No
Other Description:
GENEkAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date —
Lot Block Subdivision
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
�0111ply 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 I)isp(,sal Systems:
Install Water Hookup:
Install Water Supply Systems:
Fee S
Fee S
Fee S
Fee S
Fee S 1 t�A L7
Fee S
Install Sewer Hookup: Fee S !�
State Surtax Fee S �J Q
Total Amount Paid to Village.... ......Fee . e
Signature of applicant
Signature of Village Official