HomeMy WebLinkAbout1972-08-16 Permit, Sewer Hook Up #3252•
Villag* Permit 3252
Contractor I-'�/ %'n uv ' C�/ �- Address % r "'4
Owner. Address
State License No. Village License No
GENERAL PERMIT
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VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Farce) No.
Section No
Plat No
Other Description:
Lot Block Subdivision_
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 ` Fee $ C)
diPai�c:
Repair
Install
water supply systems: Fee $�—
Repair
�—�... Fec $ D
Total amount paid to Village ....... $ C' 1
Signature of applicant
Signature of Village Official
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