HomeMy WebLinkAbout1974-5-21 Permit, Sewer & Water Hookup #3921t.
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Village Permit - 3921
Contractor.0^Address.
Owner.Address.R~ej
State License No..Village License No.
■9^
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.S'^-7^
Parcel No..
Section No,Lot Blodc.Subdivisioa
• *'"r
>■ •'
Plat No_
Other Description:
1 hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
complv with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
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Install Plumbing Systems;
Install Sewage Disposal Systems
Install Water Hookup:
Install Water Supply Systems:
Install Sewer Hookup;
State Surtax:
Fee S
Fee S Signature of applicant
Fee $ /O '
Fee S____________
Fee S ......-.......
Fee $i-.aa
Total Amount Paid to Village ....................Fee S