HomeMy WebLinkAbout1973-08-21 Permit, Water Supply System #3764Village Permif, 3764
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Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date 7
Lot Block Subdivision
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 additional specifications as listed below.
Water Meter:
Sewerliookup:
Install Plumbing Systems:
Install Sewage Disposal Systems
Install Water Hookup:
Install Water Supply Systems:
Install Sewer Hookup:
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Fee S
Fee S
F« $ Signature of applicant
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State Surtax: Fee S
'total Amount Paid to Village........... Fee S
Signature of Village Official