HomeMy WebLinkAbout1973-03-14 Permit, Water Meter #3574L ip
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Village Permit _ 'e 4
Contra / ��-� A r-�-- Address
Owner �;r �: i� .c / i •� Address
State License No._ Village License No
GENERAL PERMIT
VILLAGE OF ORONO.
Crystal Bay, Minnesotz /
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 abditional specifications as listed below.
-- Mom-,-_*2ZZ
Install plumbing systems:
Install
sewage disposal systems
Repair
Fee $
Fee
Install
water supply systems: Fee $
Repair
- Fee $-4, 7�
Total amount paid to Village....... `._ `
Signature of applicant
Signature of Village Official