HomeMy WebLinkAbout1972-12-21 Permit, Water Meter #3479Village Permit 3479
Contractor R C, -t Address
Owner_ b tl < < Address_ "3 C-fi ,i 1� � c� ✓' �.�
Stall License No. —
Section No--
Other
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Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Lot Block Subdivision
Plat No
Date %,- -'Z /- 1y
I hereby agree that, in case a permit is granted, all work which sl►all be done and all materials which shall be used, shall
comply with the Village Code of Orono applicab
le thereto, and shall include all additional specifications as listed below.
Install plumbing systems: Fee S—
Install
sewage disposal systems: Fee $
Repair /
Install O
water supgeoi Fce
Itclxiir
Fee g , Ire
Total amount paid to Village....... C' 5
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Signature of applicant
Signature of Village Official