HomeMy WebLinkAbout1974-06-26 Permit, Water Supply System #3946Village permit N° 3 9 4 6
Contractor / l Address
Owner /� .Address ��
State License No.
Section No —
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, 'Minnesota
Parcel No. --
Plat No
Lot Block Subdivisi
Date
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 specifirations as listed below.
Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup:
Install Water Supply Systems:
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
Install Sewer Hookup: Fee $
State Surtax: Fee S
Total Amount Paid to Village........... Fee S
Signature of applicant
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Signature of Village Official
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