HomeMy WebLinkAbout1970-11-12 Permit, Water Supply #2574I
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Village Permit N9 2574 ■ .•>
Contractor-
Owner.
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Addresfi Nf ______________
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Address.
State License No.Village License No.
GENERAL PERMIT
T VILLAGE OF ORONO
Crystal Bay, Minnesota
DateL //‘ /V -7o
Section Nn.
Other Description:
Parcel No.
Plat No_
LoL Blodc.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.
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Install plumbing systems:
Install
Fee $.Signature of applicant
Repair
Repaid
sewage disposal systems: Fee $_
Iter supply systems:Fee
Fee $.
JlO^oo
Total amount paia to Village..........$
Si^ature of Village Officjal
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