HomeMy WebLinkAbout1974-12-06 Permit, Water Meter #4211■ wiiiva f ------
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Contractor.0l_Address.
Village Permit 4211
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State License No..Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date:Zl- Z-
Parcel No..
Section Nc Lot Blodc.Subdivisioit
f Plat No.
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Other Description:
I hereby agree that, 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.
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Water Meter:Fee S.jTf .3 f
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup:
Install Water Supply Systems:
Install Sewer Hookup:
State Surtax:
Fee S
Fee $
Fee $
Fees / c>. c iy
Fee $
Fees
Fee S
Total Amount Paid to Village...................Fee S 2 <9. 7/
Signature of api^icant
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Signature of Village Official
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