HomeMy WebLinkAbout1971-12-08 Permit, Water Meter #2972Village Permit 2 9 -7 2
Contractor Address ; '.ti1tt'A1kkL _
Owner r � ' '�-' Address
State License No. Village License No
Parcel No.
Section No_
Plat No.
Other Description:
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 Village Code of Orono applicable thereto, and shall include all additional speeifirations as listed below.
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Repair
Install a. (lam,
water su} lyr`- Fee $ 16. 0 0
Repair
Fec$
C.
Total amount paid to Village....... $/ n�
(C J
Signature of applicant
Signature of Village Official