HomeMy WebLinkAbout1969-04-21 Permit, Water Supply Hookup #2092Village Permit N! 2092
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Contractor Address
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Owner. Nddress L'/ d(I C
State License No Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date `�=';�. / — 6�
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.
Install plumbing systems: Fee $
Install
Repair sewage disposal systems: Fee $
Install
Rwater sup y systems: Fee $
epai
Fee $
Total amount paid to Village........
Signature of applicant
Signature of Village Offi al