HomeMy WebLinkAbout1975-02-26 Permit, Water Meter #4091Contractor—:___c
Owner
&LC
State License No.
Parcel No.
Section No.
Plat No
Other Description:
11
Village License No
Village permit N° 4091
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GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block—_— Subdivision
n
V a'i-
Date
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
conmlN 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 _
Se ever Htxrkup: Fee S
Install Plumbing Systems: Fee S
Install Sewage Disposal Systema Fee S
Install Water Hookup.
Fee
S
Install Water Supply Systems
Fee
S
—
Install Sewer Harkup
Fee
S
State Surtas
Fee
S
Total Amount Patti lu YdlaEr
Fec
%�
Signature of applicant
S*Wttue of Village Official