HomeMy WebLinkAbout1973-03-09 Permit, Sewer & Water Hookup #3580Village Permit 3580
Contractor-. Address
Owner
Address o L 4 a ��i 'ej[ C
State Licensc No.-__ -__ _ Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date---
Parcel No.
Section No Lot— Block Subdivision
Plat No.
Other Description:
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 file Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems: Fcc 5-- ---
Install�� r [
Repair
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Watcr S1* Fee $� ' G
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Total amount Ixiid to Village....... $
Signature of applicant
Signature of Village Official
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