HomeMy WebLinkAbout1976-07-14 Permit, Water Hookup #4494Village Permit N° 4494
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State License No
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Other Description:
�._ Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crysta; Cray, Minnesota
Lot_ Block__ Subdivision
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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 ased, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as 1►st:v below.
Water Meter:
Sewer Hookup.
Install Plumbing Systems.
Install Sewage Disposal Systems
Install Water Hookup:
Fee S
Fee S yf
Fee S
F` S Signature of applicant
Fce S � s
Install Water Supply Systems:
Fee S
Install Sewer Hookup:
Fee 5 '
State Surtax
Fee S
Total Amount Paid to Village.....
Fees
Signature of Village: Official