HomeMy WebLinkAbout1972-10-27 Permit, Water Supply System #3377Village Permit 1. 3377
Contractor_ _ `'t/ � Addresa 2/2' 7-k-2/2!7--'
G�-
Owner A �D• Address ' ? � `J' �Ft i �> ,l U�x�L
f
State Licensc No._ — Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date d'Ir-7%
Parcel No.
Section No Lot— Bloch—_ Subdivisi
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 disposai systems: F., -e $ _
Repair
Install ,
water supply systems- Fee $�L
Repair
. _. & = I Fee $_____.,.'c
Total amrnmt paid to Village....... $ /() �ro
Signature of applicant
Signature of Village Official
k f,