HomeMy WebLinkAbout1976-04-28 Permit, Sewer Installation #4383Jv
Village Permit N° 4383
Contractor Addres
Owner l/l��fL'et rfZ�/l`_ 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
Date
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.
C-�t�C 7e' elO
Fes?
Water Meter:
Fee S
Sewer Hookup:
Fee S
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee S
Install Water Hookup:
Fee S
Install Water Supply Systems:
Fee S
Install Sewer Hookup:
Fee S
State Surtax
Fee S
Total Amount Paid to Villagc
L
Fee S
Signature of applicant
i
Signature of Village Official