HomeMy WebLinkAbout1972-06-09 Permit, Water Meter #3150Village Permit
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Contractor Address
Owner <,�c.-•�/ec-v- Addressi 7
State License
Parcel No.
Section No
Plat No.
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot— Block__ Subdivision
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 Villagc Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems: lee $
Install
sewage disposal systems: Fee $
Repair
Install /0 , O r]
water �}�l�..cyrt®uu: Fee $
Repair C��''""��
Fee
Total arnouut paid to Villagc....... $�
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Signature of applicant
Signature of Village Official