HomeMy WebLinkAbout1969-09-29 Permit, Water Hookup #2274H
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Village Permit N9 2274
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Contractor,
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Owner.
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State License No.Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Cat T
Section No.
Parcel No.
Plat No_
LoL BlocL Subdivision.
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.
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Install pluu.Nng systems:
Install
Fee $u Signature of applicant
Repair
Install
sewage disposal systems: Fee $.
Repair
water supply systems: Fee $_
Fee $-^'1-Z'o Signature of Village Official
tx. CpCTotal amount paid to Village...........$.c cZe