HomeMy WebLinkAbout1973-07-30 Permit, New Water Supply #3738Contractor.
Owner
State License No,
Section No
Other Description:
Parcel No.
Plat No
Village Permit
3738
Address
Address ='� _ -' r %� /C
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Ray, Minnesota
Lot Block Subdivision
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1 hereby agree that, in case a permit is granted, all
work u -11w h
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.
Water Meter:
Sewer Hookup-,
Install Plumbing Systems:
Install Sewage Disposal Systems:
Insta'l Water Hookup:
Install Water Supply Systems:
Install Sewer Hookup:
State Surtax:
[=cc S
Fee S
Fee
S
Fee
S
Fee
S
[= c.e
S Z(', r
Fee
S
FCC
S .�
Total Amount ['aid to Village........... Fee S /11<70
Signature of applicant
Signature of Village Official
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