HomeMy WebLinkAbout1970-12-15 Permit, Water & Sewer Hookup #2624State Licensc No. —.
Village Permit L L 4
Address /I 1 &. I •
1
7 .�Address— L L
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Cn•stal Bay, Minnesota
Date % /" 1
Parccl No.
Section No Lot Block — Subdivisio
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.
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Install plumbing systems: Fcc $
Install
sewage dixpcnal systems: FLT $
Repair
Install 'i. t. py(.4
water s-, Fee $ ! Y
��t'd *41-e t Fee $ lt^ O O
Total amount paid to Village .... .. $- -1 —1 1 .Y..d
Signature of applicant
Signature of Village Official
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