HomeMy WebLinkAbout1972-06-29 Permit, Waater Meter #3183Village Permit , ! 33
Contractor Address '41
Owner_ ���_ �7 ,1 , ! '•'���` Address �` /Ll /' 0 7 /
State License No.
Village License No
GENERAL PERWT
VILLAGE OF ORONO
Cnstal Bay, ?Minnesota /
Date
Parcel No --
Section No Lot— Block — Subdivisin
Plat No.---
Other
o.— -
Other Description:
1 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 Codc of Orono applicable thereto, and shall include all additional specifications as listed below.
-
�`-� e- C1eJL.. o'�& (-% r
Install plumbing systems: Fee $—_—.----
Install
sewage disposal systems: Fee $_
Rclxnr
lustall
s%Acr supply systems: Fee $
Kc)XI i r
-- ---- - ----.� _ l CC $—
Total amount J)U:(l to Village....... $_
Signature of applicant
Signature of Village Official