HomeMy WebLinkAbout1971-10-08 Permit, Sewer Hook Up #2882Village Permit 283'2
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Contractor Addres _
Owner
�Address
State License
Parcel No.
Section No
Plat No
Other Description:
N -page License N
GENERAL PERMIT
VILLAGE OF ORONO
Cnstai Bay, Minnesota
Lot Block Subdivision
Date 10 _ �— 7/
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:
Install
sewage ds
Repair
Install
water supply systems:
Repair
Fee $
Fee $ /r` . o a
Fee $—_
Fee $�_L C
Total amount paid to Village....... $
Signature of applicevt
Signature of Village Official