HomeMy WebLinkAbout1973-07-23 Permit, New Water Supply System #3723Village Permit
3723
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Contractor � 14Address
S
Owner Address
State License No. Village License No_
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF O.RONO
Crystal Bay, Minnesota
Lot Block Subdivision
I hereby agree that, in case a permit is : ftd, 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:
Fee S
Sewer Hookup:
Fee S
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee S
Install Water Hookup:
Fee S
Install Water Supply Systems:
Fee S �L C
Install Sewer Hookup:
Fee S
State Su; tax:
Fee $ _,(�
Total Amount Paid to Village...........
Fee S
Signature of applicant
Signature of Village Official