HomeMy WebLinkAbout1974-07-12 Permit, Water Hookup #3966r1
Contractor— J1``e
Owner_ .,� C-- 1%71vt: -
State Licensc No
Parcel No.
Section No
Plat No
Other Description:
j
_ Address
Add
Village Permit N. 3966
Village License N
GENERAL PERMIT
VILLAGE OF ORONO
Cr%,,ztal Bay, ?Minnesota
Lot Block--- Subdivis
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Da te�— 7 T—
hereby agree tha in case a permit is granted, all work which shall be done and all materials which shall be used, shall
comply with the ,Mage Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Water Meter: Fee S -.5—T.
Sewer Hookup, Fee S
Install Plumbing Systems Fee S
Install Sewage Disposal System% Fee S
Install Water Hookup
Install Water Supply Systems
Install Sewer Hcxrkup
State Surtas
Total Amount Paid to llllattr
Feet -. tee,
Fee S
I -cc S
Feet
Irrt
Signature of applicant
Signature of Village (Mrcul
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