HomeMy WebLinkAbout1973-11-12 Permit, Water Hook Up #3818Village Permit 381.8
Contractor �� Addr�
Owner �-�—' Addressc-G--
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State Licen a No. Village License No
Parcel No.
Section No
Plat No
Other Description:
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 applicable thereto, and shall include all additional specifications as listed 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:
Install Sewer Hookup:
State Surtax:
Fee S
Fee S
Fee S Signature of applicant
Fee S , r e
Fee $
Fee S _
Fee S J 0
Total Amount Paid to Village........... Fee S0 - -
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Signature of
ViDW Official