HomeMy WebLinkAbout1972-10-20 Permit, Water Hookup #3364Village PKmit ; : 3 3064
Contractor f Address
Owner. I'Y1 1L�:1 Address
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State License No.. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date r
Parcel No. —
Section No Lot Block Subdivision
Plat No
Other Description:
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 ther;to, and shall include all additional specifications as listed below.
Install plumbing systems:
Fee $
Install
sewage disposal systems:
Fee $
Repair
Install
water s
Fee s LC Q
Repair
Fee $--•-�-�ti
Total aniou94 paid to Village.......
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Signature of applicant
Signature of Village Official
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