HomeMy WebLinkAbout1972-12-21 Permit, Sewer Hookup #3476ViNage Permit..341 6
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Contractor'' 'y-� C ' Addres
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Owner i-- ,1 id
Add
State License No.__ Villa6%, ,.v.
Parcel No.
Section No.—
Plat No.
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
CTsrstal Bay, Minnesota
Lot— Block Subdivision
Date �"7'�
I hereby agree that, in case a permit is granted, all
work which
shall
be done
and all r,laterials 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:
Install
Sewage l
ltclxiir
I nstall
water supply systems
Fee $_______ - -
Fec; $
Krlxairlamp
FC s
'Total anio unt paid to V111agc .......
Signature of applicant
Signature of Village Officid
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