HomeMy WebLinkAbout1972-04-11 Permit, Water Meter #3051Village Permit
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r) C�Contractor ��( �� �/�'� 4 Address
Owner
Address J r
State License No. Village License No
GENERAL EER111IIIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No
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 Pr* applicable thereto, and shall include all additional specifications as listed below.
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Install plumbing systems:
Install
sewage disposal systems:
Repair
Install � �d-
water
Repair
Fee $
Fee $
Fee $ 6. C� f)
Fee $�s`Z n
Total amount paid to Village....... $�/'� ��e7' '-L' .-- 6
1.
Signature of applicant
Signature of Village Official
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