HomeMy WebLinkAbout1971-05-10 Permit, Water Hook Up #2697'!l
Village Permit ,� ,; j
Contractor 7L, �'�� Addr''1
Owner Ae • •ess
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State License No. Village License No —
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota _
Date
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.
- 1/ '7 /
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Repair
Install
Repel,�7 ter sup ly systems: Fee $
Fee coo
Total amount paid to Village....... $
Signature of applicant
Signature of Vi gee Officgl
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