HomeMy WebLinkAbout1974-10-16 Permit, Water Meter #4036s
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Contractor - � _ / � r
Owner
State Licensc No.
Section No
Other Description:
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Parcel No.
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Address -
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ddres 579
Address
Village Permit 4936
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Village License No le ft�
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Plat No.
Datil �U— �G— �7
I hcrcb), agree tliat, 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 specifications as listed below.
Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup:
Install water Supply Systems: ,
Install Sewer Hookup:
StateSurtax:
ro,al Amount Paid to Village
Fee S
Fee: S
Fee S
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Fee S
Fee S
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Signature of applicant
Signature of Village Official