HomeMy WebLinkAbout1976-07-29 Permit, Water Supply.r '
Village Permit - 4522
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Contractor.
Owner ___
Address.
Address -----
State License No._Vilbge License No.
GENERAL PERMIT V-,
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VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.
Section No______
Other Description:
Parcel No.
Plat No.-
Block.Subdivision.
I hereby agree that, in case a permit is granted, all work which shall be done and all mataials which shall be used, shall
comply witli the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Water Meter:Fees
Sewer Hookup: Fee $
Install Plumbing Systems:Fees
Install Sewage Disposal Systems;Fee S
Install Water Hookup:Fees
Install Water Supply Systems:Fees
Install Sewer Hookup:Fees
State Surtax:Fee S
Total Amount Paid to Village............___Fee S
Signature of applicant /
Signature of Village Official