HomeMy WebLinkAbout1972-06-13 Permit, Water Supply #3154Village Permit 31. D 4
ContractoT—L n %'� -r�M �L ,� Address
Owner �L L Q r l �-` �- h) e' Address
State License No. Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Section No
Plat No. _
Other Description:
Lot Bloch- Subdivision
Date Y _ '1
L
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.
Install plumbing systems: Fee $_
Install
sewage disposal systems: FLv $
Repair
Install
water supply systems: Fee $�
Repair
7T FCC
Total amount $ Ir
e . ,r-0
Signature of applicant
Signature of Village Official
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