HomeMy WebLinkAbout1972-05-19 Permit, Water Meter #3111Village Permit
Contractor _1\1i �� �"� ��''� t ±4 Address
Owner
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State License No
Parcel No.
Section No
Plat No_
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
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:
Install
sewage disposal systema:
Repair
Install a 1,
WatCT S
Fee $_
Fee $
Fee $ ic�_ . 0 0
Repair �Q
Fee $
Total amount paid to Village....... $ .t
Signature of applicant
Signature of Village Official