HomeMy WebLinkAbout1970-10-13 Permit, Water Hookup #2557Village Permit NS 2557
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Contractor-
Owner ___
State License No.
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Village License No-
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GENERAL PERMIT .-
VILLAGE OF OROHO d|||Hbi
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Fkicel No ______ id
Section No
Crystal Bay, Minnesota
Block-Subdivision.
Pht No.
Other Description:
I hereby agree tiiat, 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 speci6cations as listed bdow.
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Install plumbing systems:
Instan
Fee $.Signature of applicant
Repair
Install
sewage'disposal systems: Fee $.
Repaicrly systems: Fee $_
'to Vill
Fee $to‘00
Total amount paid'to Village ..........$.
Signature of Village Official
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