HomeMy WebLinkAbout1972-05-25 Permit, Install Water Supply #3x3Village Permit
Contractor lV 2- �-' Address �' �� 1C e" "
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Owner / Address
State License No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Parcel No.
Section No Lot— Block Subdivision
Plat No.
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.
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Rcpair
Install r ,,, d
Hater snpply systems: Fee $_ �__—_
Rcp►ir
t r
Fee $ /��
'Total amount paid to Village....... $_�:.r-
Signature of applicant
Signatnrc of Village Official