HomeMy WebLinkAbout1974-07-18 Permit, Water Meter #3969CVAag* Pirmit - 3369
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ContactoiL
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Address.
Address.
Stale License No-Vdiage License No.
GENERAL PERMIT
VILLAGE or OnONO
Crystal Bay, Minnesota
Section No.
Parcel No.
Pht No-
Subdivision.
Other Description:
I hereby agree that, in case a permit is granted, all work which shall be done and all matcriab which shall be used, shall
comply with tlie Village Code of Orono applicable thcrehx and shall include all additional specifications as luted bdow.
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Water Meter Fees
Sewer Hookup:Fees
Install Plumbing Systems:Fees
Install Sewage Disposal Systems:Fees
Install Water Hookup:Fee S
Install Water Supply Systems:Fee $
Install Sewer Hookup:Fee S
State Surtax:Foe $
Total Amount Paid to Village ....................Fee S
Signature of apjdicant
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cSignature of Village Official
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