HomeMy WebLinkAbout1973-07-05 Permit, Water Meter #3690A
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Owner T'csr�P r�c Ae�'f Address �Q7U.4 Aa/
Statc License No. _ Village License No
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Dates J — — 7 a
i hereby agree that, in case a permit is granted, 211 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 fated below.
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Water Meter: Fee S
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install water Hookup:
Install water Supply Systems:
Instal Sewer Hookup:
State Surtax:
Fee S
Fee S
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Fee S
Fee S
Fee S
Fee S
Signature of applicant
Signature of Village Official
Total Amount Paid to Village........... Fee S
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