HomeMy WebLinkAbout1971-05-04 Permit, Water & Sewer Hookup #2678Village Permit ? Z) i 3
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Contractor Add 0 -
Owner
Owner Address
State License No.
Parcel No.
Section Nu
Plat No
Other Description:
Village License No
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 time Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Repair
Install t,/
water t Fee $.�L1—o
Repair
', /
Fee $//
Total amount paid to Village....... $j-'-" �
Gt��tti, Al Imo, �a .
Signature of applicant
Signature of Village Official
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