HomeMy WebLinkAbout1971-05-28 Permit, Water & Sewer Hookup #2722Village Permit . -:. 2722
4Contractor' Address t 7 )11'(
Owner Address
State License No. Village License No
Parcel No
Section No
Plat No.
Other I)Lscrption:
GENERAL PERMIT
VILLAGL OF ORONO
Crustal Bay, 'Minnesota
Lot— Block— Subdivisi
8-71
Date �-
I hereby agree that, in case a permit is granted, all work which shall be done and all maic7-'21s 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 disposal systems: Fee $
Repair
Install
Ncalcr vlrmy Fee
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_ _1r_=�_1' 14 Fee $
$—�—"I'ut:ll ,uncnmt Ixlid to Vi loge.......
Signature of applicant
Signature of Village Official
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