HomeMy WebLinkAbout1971-05-06 Permit, Water & Sewer Hookup #2689Village Permit
Address_
Contractor
LOwner !'/ Address
State License No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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 shall include all additional specifications as listed below.
" 6;
Instar plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Repair
Installs�
waters
Fee $�/� �.
Rclipir
Fee $
Tota) amount paid to Vrllagc.......
$ 4)
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ti1 77
Signature of app'icant
'$igilaturc of Viiiage Official