HomeMy WebLinkAbout1973-04-15 Permit, Sewer Hookup #3596Village Permit
Contractor-�� *<- Address
Owner Address ` C (C H GA4 0 � 4
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Statc License No. Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota 77
/
Date `~ �� /
Parcel No.
Section No _ Lot— Block — Sui division
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 the Village Code of Orono applicable thereto, and shall include all a&,tional specifications as listed below.
Install plumbing systems: Fee $—_ _ __ Signature of applicant
Install
sewage clispe+al- ems: Fee
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lustall
water supply systems: Fee $.
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- -- Fee
Total amount lxiid to Village $�Q
Signature of Village Official
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