HomeMy WebLinkAbout1972-05-25 Permit, Water Supply System #3117x
Wage Permit 3117
Contractor �.j ' � �/`� ate - Acldress ? �
Owner �L L I ,( .r : C L�_ Address
State License No._ Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Parcel No. ____
Section No Lot^ Block. __ Subdivision
Piat No.—..---_
Other Desc•riptton:
I hereby agree that, in case a permit is granted, all work which shall be clone 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 plunilhing systems: Fee 5--- --..
Install
sewage disposal systems: Fee $
Repair
Install
water supply ststen►s: Fee S r
Repair
•FCC
Total amount paid to Village ...... r
Signature of applicant
Sit;natore of Village (ficial