HomeMy WebLinkAbout1972-01-07 Permit, Water Meter #2995C4,
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Village Permit : i . ` g j
atractor "�/ / `-.—25 � Address
Owner Address '
to License No. Village License No
Parcel No
Section No
Plat No —
Other Description:
GENERAL PERMIT
VILLAGE OF ORO'10
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 Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
L&
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee
Repair
Install
water supplysystems: Fee $ . '/�),
Repair
Fcc $ 'i
Total amount Ix,id to Village....... $ �"
Signature of applicant
Signature of Village Official