Laserfiche WebLink
Village Permit N° 4189 <br />, <br />49/4� Cont�;.; 11 <br />c._ �'2hd'02C� Addres � <br />Owner Address <br />Statc License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No. <br />Sectiol. No Lot Block Subdivision <br />Plat No <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />/ v E <br />7-C, <br />Water Meter: <br />Fee S <br />Sewer Hookup: <br />Fee S <br />Install Plumbing Systems: <br />Fee $ <br />Install Sewage Disposal Systems: <br />Fee $ <br />Signature of applicant <br />Install Water Hookup: <br />Fee S <br />Install Water Supply Systems: <br />Fee S <br />Install Sewer Hookup: <br />State Surtax: <br />Fee $ <br />� <br />Fee $ <br />Signature of Village Official <br />0, <br />r <br />12 / <br />Total Amount Paid to Village........... <br />Fee $ __`�� <br />i-A <br />