HomeMy WebLinkAbout1972-07-18 Permit, Water Meter #3206Village Permit
Contractor '`2�
/': Address
�4
Owner (f
�'l 4/ � �� [. Address
State License N
Section No
Other Description:
Village License N
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No. --
Plat No
Lot— Block Subdivision
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: 1, cc g—
Install
sewage disposal systems: Fete
Repair A
Install /
water suVPlr-it+te+ns I,-ec $
ltclxiir
.h r�
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official