HomeMy WebLinkAbout1972-12-21 Permit, Sewer Hookup #3478Im
Contractor
Owner
z
r
State License No.
Parcel No.
Section No
Plat No
Other Description:
0
�f
Address
._ Address.
Village Permit
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Ray, Minnesota
Lot Block Subdivision �...,.,
I hereby agree that, in case a permit is granted, all
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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
Im
Contractor
Owner
z
r
State License No.
Parcel No.
Section No
Plat No
Other Description:
0
�f
Address
._ Address.
Village Permit
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Ray, Minnesota
Lot Block Subdivision �...,.,
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.
Install plumbing systems: Fee $
Instill '
sewage did Fee $
Repair
Install
water supply systems: Fee $
Repair _.. _
1'
'I'otal aniount Pa Villa id to e ....... $
Village
.4
Signature of applicant
Signature of Villa,, : Official