HomeMy WebLinkAbout1975-07-18 Permit, Water Hookup #4152Village Permit N° 4152
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State License No. _ Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Parcel No.
Section No Lot— Block_ Subdivisi
Plat No.
Other Description:
I hercbtl 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
�japplicable
�thereto, and shall include all additional specification as listed below.
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Water Meter:
Sewerllookup:
Install Plumbing Systems:
Install Sewage Disposal Systems
Install Water Hookup:
Fee S
Fee S
Fee S
Fee S
Fee S
Install Water Supply Systems: Fee S
Install Sewer Hookup: Fee S
State Surtax: Fee S
Total Amount Paid to Village........... Fre 5
Signature of applicant
Signature of Village ffrcial
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