HomeMy WebLinkAbout1970-12-11 Permit, Water & Sewer Hookup #2622Contractor z J" ° u Address
Owner _ ;� _ ' ' ' Address `� (� l / it l
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.
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Install plumbing systems: Fee
Install
sewage dkp oral systems: Fees
Repair
Install 'n r '
water supply systew: Fee s
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Fee $
'total amount paid to Village.......
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Signature of applicant
Signature of Village Official