HomeMy WebLinkAbout08-05-1976 Permit, Sewage System Repair #4539Village Permit - 4539
Address.
Address.
Stale License No..Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Ci)’sta1 Bay, Minnesota
Dale.
Section No.
Parcel No.
Plat No-
Block.Subdivision.
Ollier Description:
I hereby agree that, in ease 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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Water Meter:F pc S
Sewer Hookup:Fee S
Install Plumbing Systems:Fee S
Fee S f ^
Signature of applicant
Disposal Systems:
Install Water Hookup:
Install Water Supply Systems:Fees
Install Sewer Hookup:
State Surtax:
Total Amount Paid to Village ...............
Fees .
..Fees
Signature of Villagfe Ofiicial
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