HomeMy WebLinkAbout1972-12-19 Permit, Sewer Hook Up #3458t
Village Permit
Contractor 14 ' l ' dA0 40 W Acldres /
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Owner /? �' _ �J1..�L Addrr
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State License No. Village License No,
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date /,' ` / 4 " ? Z''
Parcel No.
Section No Lot— Block-- Subdivision
Plat No.
Other Description:
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 ChA fL.4L;.: Fee $ Z n C
Repair
Install
water supply systems: Fee $�-
Rclxiir
Total amount paid to Village....... $_
Signature of applicant
Signature of Village Official