HomeMy WebLinkAbout1972-08-15 Permit, Water Supply #3250State. License No.
Parcel No.
Section No
Plat No
Other Description:
Village Permit 13
Address
J
Address'
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal gay, Minnesota
Lot Block Subdivisio*+
Date —
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 $ Signature of applicant
Install
sewage disposal systems: Fee $
Repair
Install /! / /'"o O e,
water s�pply systems: Fee $ - /0/ -,
Repair 5 G' '�-`�y +Signature of Village Official
Fee $ l>
Total amount paid to Village....... $