HomeMy WebLinkAbout1969-09-25 Permit, Water Supply System #2270Village Permit N 2 2270
Contractor �C n -` ' `/� !/ Address
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Owner Address �� c �C
State License No
Parcel No
Section No
Plat No
Other Description:
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot_ Block Subdivision —
I hereby agree that, in case a permit is granted, 211 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:
Install
sewage disposal systems
Repair
6nstal�er
supply systems:
Repair
Fee $
Fee $
Fee $ / 6 ' D a
Fee $.--
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official