HomeMy WebLinkAbout1974-07-23 Permit, Water Supply Hookup #3973Village Permit ~ 3973
Address.
Address.
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Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.n.
Parcel No..
Section No,Lot Block.Subdivisioa
Plat No,
Otlier Description:
I hereby agree that, in case a permit is granted, all work whieh shall be done and all materials which shall be used, shall
comply with the Vilbge Code of Orono applicable thereto, and shall include all additional specifications as listed below.
______________I o ____________________________________
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Water Meter;
Sewer Hookup:
liiitall Plumbing Systems:
Install Sewage Disposal Systems
Install Water Hookup;
Install Water Supply Systems.
Install Sewer Hookup:
State Surtax ;
Total Amount PaiJ to Village. .
Fee S
Fee S
Fee $
Fee S
Signaturc of applicant
K„, It O O
Fee S-----------------
Signature of^ViBage Official
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