HomeMy WebLinkAbout1970-12-17 Permit, Water & Sewer Hookup #2627Contractor AA-","fAdd'
Owner r -o -h z
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State License No. Village License No.
Parcel No.
Section No
Plat No.
Other Description:
Village Permit _ _
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot— Block Subdivisi
Date—, J r
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 ' l
ude all additional specifications as listed below.
Install plumbing systems: lee $
Install
sewage disposal systems: Fee $
Repair
Install
water s4 jy � n : Fee }
Rclxiir 1'`
.P.. ��,� 0� G„� Fee $( Olt' -
Total amount paid to Village....... $_')
Signature of applicant
Signature of Village OffiCW