HomeMy WebLinkAbout1970-12-09 Permit, Water Supply Hook Up #26184. —I
Village Permit "" 2618
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Own Address40
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State License No._—_ —_ _—_ Village License No. ---
GENERAL PERMIT
VILLAGE OF ORONO
Cn-stal Bav, 'Minnesota
Parcel No
Section No. Lot— Block_— Subdivisio
Plat No.
Other Description:
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.
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Repair
Install
water supply systems: Fee $
Repair �.
__- Fee $�____
Total amount paid to Village....... $ w
Signature of applicant
Signature of Village Official
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