HomeMy WebLinkAbout1976-06-03 Permit, Water Meter #4447Village Permit N4 4417
Contractor Address
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State License No
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Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
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 applicab;e thereto, and shall include all ad tonal 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:
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Fee S O
Fee S _
Fee S
Fee S Sign of applicant
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Fee S
Total Amount Paid to `tillage.... ...... Fee S &0 _
Signature of Village Official