HomeMy WebLinkAbout1972-07-21 Permit, Water Hookup #32164^'V •*4-
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#Village Permit [ J2 3216
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Owner_
^ State License No
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Village License No_
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GENERAL PERMIT
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VILLAGE OF ORONO
Crystal Bay, Minnesota
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Date 7-S/-
Parcel No..
Section No.Lot Block.Subdivisioa
Plat No_
Other Description:
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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 speciheations as listed below.
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Install plumbing systems:
Install
Fee $.Signature of applicant
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Repair
Install
sewage disposal systems: Fee $.
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Repair
water supply systems^f^ Fee $—/(!.
Cti Cr Fee $.
Total amount paid to Village ^ fP • Js X)
Signature of X'illagc Official
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