HomeMy WebLinkAbout1970-12-08 Permit, Water & Sewer Hookup #2613i _.. T k 1
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Village Permit b
Contractor ��- Q� Add
OwnerG',4 Address
State License No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota —7
Date
Parcel No.
Section No Lot Block Subdivision
Plat No.
Other Description:
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 shal elude all additional specifications as listed below.
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Instali plumbing systcros: Fee 5 --
Install
sewage disposal systcros: Fee $
Repair
Install e
water supglYs Fee $L47
_
Repair
I ,o- t ti it ko Fee $
Total amount paid to Village....... $ C)
(,
42
Signature of applicant
Signature of Village Official