HomeMy WebLinkAbout1969-08-22 Permit, Water Supply System #2225Village Permit ' N2 2225
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Owner. iff cf ^ yy»^
Addres. h^IT f c kf/ //
Address
State License No.Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date S" >> Un j
Section No.
Parcel No.
Plat No__
Block.Subdivision.
Other Description:
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 bdow.
Install plumbing systems:
Install
Fee $L
Repair
(TmJalP'
sewage disposal systems: Fee $.
Repair
water supply systems: Fee $l
Fee $.
Total amount paid to Village..........$.
Signature of applicant
Signature of Village Offic^
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