HomeMy WebLinkAbout1972-12-196 Permit, Water Hookuo #3471r:w rV ■'■-'«1
Village Parmif W2 ’ 3471
Contractor.• // T' \>c afU
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Owner./t/. 7) '7y>r..Ih!t L L
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State License No,Village License No,
r GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date./jj .l^'
Parcel No,.
Section No,Lot Block --------- Subdivisioa
Plat No,
Other Description:
I hereby agree that, in ease a pcfniit 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.
Pee $.Install plumbing systems:
Install
sewige disposal syiitemi: P<3J $
Heixrir
Install
w:atcr sppfiay systcTpS'i
Hepair
___________Fee s
Signature of applicant
Fee SJUJIIL
Signature of Village Official
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Total amount paid to V'lllagc ...........$ ICd^: SjSL hpi Lje