HomeMy WebLinkAbout1972-3462 - Sewer HookupPwne L 4 2
Contractor Add
Owner
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State License No. VJbWe license No
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GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Dam / - '2 - 11-
Parcel No
Section No Lot Block Subdivision
Plat No —
Other Description:
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I hereby agree that, in cast a permit is granted, all work which shall be done and all materials which shalt be used, sW
I� comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
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Install plumbing systems: Fee $
Install
sewage di�04'3rterns: Fee $ C�
Repair i
Install
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water supply systems: Fee $
Repair
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Fee $
Total amount paid to Village....... $ to '
Signature of applicant
Signature of Village Official
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