HomeMy WebLinkAbout1973-08-27 Permit, Water Meter #3770Village Permit 3770
Contractor � '' ' � � r -`� �B` Address
Owner ' !_ Address
State License No. — Village License No
Parcel No.
Section No
Plat No.
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivisi
Date n ,Z 7 — 1 3-
I hereby agree that, in case a permit is granted, all work which shall begAone 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.
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Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems
Install Water Hookup:
Install Water Supply Systems
Install Sewer Hookup:
State Surtax:
FeeS_
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Fee $
Fee S _
Fee $ Signature of applicant
Fee $ ZL • C
Fee S
Fee S
Fee S
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Total Amount Paid to Village........... Fee
Signature of Village Official