HomeMy WebLinkAbout1972-06-06 Permit, Water Supply System #3140k"
Village Permit 3140
Contractor
i
Owner ! [� a.-�-E.. Address
State License No.
Parcel No.
Section No
Plat No
Other Description:
Village Lir nse No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
DatM
Lot Block Subdivision
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 systems:
Repair
Install
Water supply systems:
Repair
Fee $
Fee $
Fee $�
Fee $
Total amount paid to Village....... $ C '
Signature of applicant
Signature of Village Official