HomeMy WebLinkAbout1973-05-24 Permit, Water Meter #3647^■1
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State License No..Vilbge License No.
GENERAL PERMIT
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VILLAGE OF ORONO
Crystal Bay, Minm
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Parcel No.
Section No.Lot Block Subdivisioa
Plat No.■ Q
Other Desaiption:
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 specifiations as Isted bdow.
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Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup:
Install Water Supply Systems:
Install Sewer Hookup:
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State Surtax:
Total Amount Paid to Village
Fee S J /
Fee^ ______
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Fee $________
Fee S___________
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Signature of applicant
Fee $ y O' *^V
Fee $___________
Fees
Fees
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Signature of Village Official
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