HomeMy WebLinkAbout1994-07-01 Permit, Watter Supply Hookup #3953cVillage Permit
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Contractor �� � � Address
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Owner.V�',�ti�' Address
State License No. Village License No
Parcel No
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision -
N� 3953
Da to '7 / _ 7J
1 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 specifications as
listed below.
Water Meter: Fee 5
Sewer Hookup: Fee S
Install Plumbing Systems. Fee S
Install Sewage Disposal Systems: Fee $
Install Water Hookup:
Install Water Supply Systems:
Install Sewer Hookup:
State Surtax:
Total Amount Paid to Village
Fee S C, T
Fee S
Fee S
Fre S
Signature of applicant
Signature of4-l-4
Village CffwW
5%4%
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