HomeMy WebLinkAbout1975-06-27 Permit, Water Meter #4138a v
Village Permit N° 4138
Contractor Address
Owner �'`-�"^ Address / J � 'K -4 L 6,
Statc Licensc No.
Parcel No.
Section ' ,o
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Dates
Plat No _
Other Description:
Lot Block Subdivisio*+
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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57) l?o
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Water Meter: p
Fee S �J' tD
Sewer Hookup:
Fee S
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee S
Install Water Hookup:
Fee S
Install Water Supply Systems:
Fee S
Install Sewer Hookup:
Fee S
State Surtax:
Fee S
Total Amount Paid to Village.. ........
Fee S
Signature of applicant
Signature of Village Official
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