HomeMy WebLinkAbout1972-12-29 Permit, Sewer Hook Up #3532W
Village Permit
Contractor G ��- �''"' U c ' , Addres �G
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Owner 1" C r`' �! ,•v Addressr---
State License No Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date /'" _-,,L 9 - 7 �-
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Parcel No
Section No Lot Block Subdivision ;y ,
Plat No'y
Other Descriptions r„
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.
-// - -7s-
Install plumbing systems: Fee $
Install
sewage dis Fee $_L�
Repair
Install
water supply systems: Fee $
Repair �j�
Fee $--ems` e
Total amount paid to Village....... $ �'1' 0
Signature of applicant
Signature of Village Official