HomeMy WebLinkAbout1971-10-27 Permit, Water Hookup #2897Village Permit 2837
Contractor "F ��� ��'� �' f r Address
Owner c.u.Address
s
Village License to
State License No. ' � � �'� I`''
GENERAL PERK s, IT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Parcel No.
Section No Lot Block Subdivision
Plat No
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 below.
7AL—TLA'.0 414 f 5,5 44
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Repair
Install a' c
water s4 Fee $
Repair
Fee $ _
Total amount paid to Village....... $—'�o
Signature of applicant
Signature of Village Official
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