HomeMy WebLinkAbout1972-09-21 Permit, Water Meter #3311Village Permit
ContractorAddrecc
Owner. / Address 1 �z' /
State License No.
Parcel No
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Section No Lot Block Subdivision
Plat No.
Other Description:
Date
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.
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Install plumbing systems:
Install
sewage disposal systems
Repair
Install
water suppiy
Rclxiir
Fee $
Fee: $
Fee $—Z V - 0 0
i j,a t Fee $ �
Total amount paid to Village....... $
dy 70'
Signature of applicant
Signature of Village Official
1