HomeMy WebLinkAbout1971-11-04 Permit, Water Meter #2912z�
Village Permit 2 J ` 2
Contractor 0, g 111L M 16 Address
,
Owner 'I'r Address
State License
Parcel No.
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
/-f_7I
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: Fee $
Install
sewage disposal ystems:
Fee $
Repair
Install t %
water su.cJrctttns:
Al)
Fee $
Repair
Fee
Total amount paid to Village.......
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Signature of applicant
Signature of Village Official