HomeMy WebLinkAbout1972-10-16 Permit, Water & Sewer Hookup #3354Village Permit 3354
Contractor r Address—t L� -t_4
Owner. fu h P
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Address
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State License No. _ Village License No
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot— Blocky Subdivision
Date /,() --- / 4 ` 7 �'
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.
Install plumbing systems:
Install r,
sewage disposal systems:
Rcpai
Install
Repair ! j�
water su Sys
Fee $
Fee
Fee $ / r -- (1 0
-> > Fee $
Total amount paid to Village....... $_
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Signature of applicant
Signature of Village Official