HomeMy WebLinkAbout1976-08-26 Permit, Water Hookup #4575m t
Village Permit ^ 4575
1 1 Contractor.
Owner.
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State License No..
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. Address.
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- Village License No.4
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Section No,
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Plat No.
Other Description:
103^
Lot--------- BIc Subdivisioa
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Date:
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I hereby agree that, in ease a permit is granted, all work whieh shall be done and all materials whieh shall be used shall
comply with the Village Code of Orono applicable thereto, and shall include all additional speci6cations as listed Mow.
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94^9 447
Water Meter:Fee $
Sewer Hookup:Fee S
Install Plumbing Systems:Fee S
Install Sewage Disposal Systems:Fees
Install Water Hookup:Fee S /f7
Install Water Supply Systems:Fees
Install Sewer Hookup:Fee S
State Surtax:Fee $a
Total Amount Paid to Village. .. .• •••••• Fcc $
Signature of applicant
Signature oLVillai Official