HomeMy WebLinkAbout1971-05-21 Permit, Water Supply Hookup #2711•! - 4 • - •.
Contractor
Owner
Add
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Address-
State
ddress
State License No. Village License No
Parcel No.
Vilia� PWn* ", 2 71.1
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GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Section No Lot.— Bloc Subdivision
Plat No.
Other Description:
Date
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 specifications as listed below.
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install
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Fee $. _
Fee $
witcr supply' Fee
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'1"otal amount prod WWI 1 11 & q * 0
Signature of applicant
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