HomeMy WebLinkAbout1971-08-17 Permit, Water Supply Hook Up #2824State License No
Village Permit
Address -
Address —
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date i ' % -% - 7
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 disposal systems: Fee
Repair
Install
water supply systems: Fee $
Repai,
"'� Fee $
Total amoufi Village....... $
nom
Signature of applicant
Signature of Village Official
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