HomeMy WebLinkAbout1971-02-03 Permit, Water & Sewer Hookup #2644Village Permit
Contractor t �' Address
Owner a- 4 C P I~ `S Address e -
State License No.
Parcel No
Section No
Plat No
Other Description:
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot 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 all additional specifications as listed below.
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Install plumbing sy5tcros: Fee $ Signature of applicant
Install
sewage disposal systems: Fee $
Repair
,4'nstaU-. �o i
water supply Fee $
Repair
L i, ;•,, r.. r - , �t Fee $ f� a
Total amount paid to Village....... $in it. t ( r— "� 1 0 D
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Signature of Village Official