HomeMy WebLinkAbout1973-05-24 Permit, Water Meter #3646r f I ' -
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Village Permit r'-3646
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Contractor
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Owner.
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Address
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State License No..Village License No.
GENERAL PERMIT
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$ 4
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.
^ ’.V Swtion No.1-1 \
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Parcel No,
Lot Blodc.Subdivisioa
Plat No.
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Other Description:
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I hereby agree that, in case a permit is granted, all work v hich shall be done and all materials which sliall be used, shall
comply with the Village Code of Orono applicable there'.o, &nd shall include all additional specifications as listed below.
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Water Meter;FeeSs
Sewer Hookup:Fee $
Install Plumbing Systems:Fee $
lnst«II Sewage Disposal Systems:Fees
lnst,3ll Water Hookup:Fee $
Install Water Supply Systems:Fee S .
Install Sewer Hookup:Fee S
State Surtax:Fee S,
ITnt.'il Amniinf P;iiii In ...............___Fee S
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Signature of applicant
Signature of Village Official
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