HomeMy WebLinkAboutPermit, Water Meter #4118Village Permit N° 4118
Contractor P"tij�� ,j_/ Address
Owner s (` Lt, Address
State License
Parcel No
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date
1 hercb}' 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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Water Meter: Fcc S
Sewer Hookup:
Install Plumbing Systems:
Instal Sewage Disposal Systems:
Install Water Hookup:
Install Water Supply Systems:
Install Sewer Hookup:
State Su. tax:
Total Amount Paid to Village ...
Fee S
Fee S
Fcc S
Fee S
Fee S
Signature of applicant
Fee S
Signature of Village Oficial
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