HomeMy WebLinkAbout1976-08-20 Permit, Water Meter #4556Village Permit N° .- 4556
Contractor �;1d " t Address —
Owner �/ U Z �L Address
State License No
Parcel No.
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Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date ;/ ✓��
Lot Bloc Subdivisi
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 Codc 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
Fee S ev
Fee S
Fee S
Fee S _ Signature of applicant
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Fee - l � , A�=
Fee S
Install Sewer Hookup: Fee S
State Surtax: Fee S '
Total Amount Paid to Village........... Fee S
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