HomeMy WebLinkAbout1971-06-01 Permit, Water & Sewer Hookup #2723Village Permit 2 7223
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Contractor Address
Owner. �' Address
State License No. Village License
Parcel No
Section No
Plat No.
Other Description:
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 systems: Fee $_
Install
sewage disposal systems: Fee $
Repilir
Insh�ll �►FIc�"'f'$111
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water su Fee �
Repair , J
i 2,% f a r t Fee $
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official