HomeMy WebLinkAbout1972-11-22 Permit, Sewer & Water Hookup #3419Village Permit 3 419
Contractor Addres -
Owners Address
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State License No. Village License No '-Z-
Parcel No
Section No. —
Plat No.
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, 'Minnesota
Lot— Block Subdivisi
Date
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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.
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Install plumbing systems: Fee $
Install A t►-7! t ) /(j . Oy
sewage di�M-mtefis: Fee $
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Install
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water su Fee $
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_ — Fee $
Total amount paid to Village.......
Signature of applicant
Signature of Village Official
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