HomeMy WebLinkAbout1972-09-05 Permit, Water Hookup #3287Village Permit .j r
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Contractor r Address �" 1 �.'tr LE h ALL .
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Owner �%r-f, �- /' 4-j_' Address J C %` . u jl r tj 0--
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Statc License No
Parcel No
Section No
Plat No
Other Description:
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block- Subdivision
Date �7
I hereby agree that, in case a permit is granted, all work which shad be done and all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and sh l include all additional specifications as listed below.
-- --- Ag.
Install plumbing systems
Install
sewage disposal systems
Repair
iustall
water -
Repair
7
Fee $
Fee $
Fee $ le.'. f7 O
Fee $
Signature of applicant
Signature of Village Official
Total amount paid to Village....... $ _