HomeMy WebLinkAbout1976-08-23 Permit, Water Supply Hookup #4570Village Permit 4570
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Contractor.
Owner.
Address.
Address.
State License No..Village License No_
GENERAL PERMIT
VILLAGE OF OROlfO
Crystal Bay» Minnesota
Date.9^' :Z
Section No.
Parcel No..
Plat No.
Lot Block.Subdivisioa
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 Vilbgc Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Water Meter:
Sewer lUHikup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Uistall Water Hookup:
Install Water Supply Systems:
Install Sewer Hwkup
State Surtax;
Total Amount Paid to Village . . ..