HomeMy WebLinkAbout1971-05-17 Permit, Water & Sewer Hookup #2705Village Permit 27-35
Contractor [.,-r-,,, Q c
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Owner Address
State License N
Section No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Parcel No. --
Plat No.---
Other
o. __
Crystal Bay, Minnesota
Lot_ Bloch_ Subdivi
Date. / 7
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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 Villagc Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Rcpair
Install
water swpplw- 1.),elamfi:�
ltcl.:!ir
Total amount Mid to Village. .
Fee $ 1
Fee $
$ J � !
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Signature of applicant
Signature of Village Official
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