HomeMy WebLinkAbout1972-07-05 Permit, Water Meter #3188Village Permit
1 3188
Contractor /a- �- - Address
Owner Address
i
State License No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Section No
Plat No _—
Other Description:
Lot_ Bloch— Subdivision
Date
--7 L
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:
FLe $
Repair
Install
water supp
Fee
Repair
T—
r
Fec $—
Total amount paid to Village.......
$ /
Signature of applicant
Signature of Village Official