HomeMy WebLinkAbout1974-08-08 Permit, Water Meter #3982(A
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Village Permit N? _ 3982
Contiacto Address.
Owner.Address.S>o6^
State License No.Village License No,
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.
Parcel No.
Section No.Lot Block.SuMivisioa .____
Plat No.
Other Description:
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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 tist ^, shall
comply with the Vilbge Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Water Meter:
Sewer Hookup
Fee S
Fee $
KV. ri
Install Plumbing Systems:Fee S
l,15tall Sewage Disposal Systems:Fee S
Signature of apf^itant
Itiviall Water Hookup;■CC S 10.0 O
Install Water Supply Systems Fee S
Install Sewer Hookup:
State Surtax;
Total Amount Paid to Village....................Fee $
Signature of Village Official
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