HomeMy WebLinkAbout1972-02-22 Permit, Water Supply Hookup #3015•4:.. . •■
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Village Permit f ’2 _ 3015 ^
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’ | . State License No.Village License No.
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4‘' ■ -% '- ■"/;.GENERAL PERMIT>' t ^ .»
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Date.
Parcel No.
Section No.Lot Blodc Subdivisioa
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Plat No.
Other Description:S'":
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I 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.
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Install plumbing systems:
Install
Fee $.
Repair
Install
sewage disposal systems: Fee $.
Repair
laalv.tvttemg:
Signature of applicant
water supply.tyttem
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Fee
Fee $.
Signature of Village Officialc.
Total amount paid to Village............$—id.-.. ^—(D.
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