HomeMy WebLinkAbout1973-12-27 Permit, Water & Sewer Hookup #3847Village Permit
Contractor
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State License No. Vil1W IAv= No
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF OIR
Crystal Bay, Minnesota
Block_ Subdivision►
Date
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 211 additional specifications as listed below.
94 (A 'C
ter: Fee S
i
okup. Fee S C�
Install Plumbing Systems. Fee S
Install Sewage Disposal Systems Fee S Signature of applicant
Install Water Nookup Fee S itL
Instill Water Supply Systems. Fee $
I nN ntt 4evow 111 ttlp : `�. � C. Fee i i
Signature of %'illW Official
Slate Surtax FN s �,� � Q
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Total Amount Nod to Village ........ FN S f