HomeMy WebLinkAbout1973-12-06 Permit, Water MeterVillage Permit
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Contractor.
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Owner./^ A^ { • v.^ / <r <1f Addresi Oornyo /f /^V •
State License No
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Vilbge License No_______
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GENERAL PERMIT
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VILLAGE OF ORONO
Ciystal Bay, Minnesota
Date.
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Parcel No.
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Section No Lot Subdivisioa
Plat No.
Other Description:/V
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! 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 Ibted bdow.
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Water Meter:
Sewer Hookup:
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Fee $
Install Plumbing Systems:Fee $
Install Sewage Disposal Systems:
Install Water Hookup:
Install Water Supply Systems:
Install Sewer Hookup:
Fee $
Fees
Fee S
Fees
Signature of apfdicant
State Surtax:Fee S
Total Amount Paid to Village ...................Fee S ■ yf
Signature of Village Official
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