HomeMy WebLinkAbout1972-10-27 Permit, Sewer Hook Up #3378O
Village Permit 3378
Contractor Address �
Owner Address_ L�
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State License No. Village Li.. rse No
GENERAL PERMIT
VILLAGE OF ORONO
f,.. Crystal Bay, Minnesota
Date /D —��%--
W
Parcel No.
Section No Lot Block Subdivision _
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 di /"" : s: Fee $ r ��
Repair
Install
water supply systems: Fee S•
Repair
__ _ Fee $
Total amount paid to Village....... $_
Signature of applicant
Signature of Village Official
.