HomeMy WebLinkAbout1969-10-06 Permit, Water Supply Hool Up #2278Village Permit N a 2278
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Contractor Andres
Owner ` ' //�• Address n K' , �.�.C�
State License No
Parccl No
Section No
Plat No
Other Description:
Village License No _
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date 10 —y
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.
- -) - (/? 7 -
Install plumbing systems: Fee $
Install
Repairsewage dispcsal systems: Fee $ _
Install
wa er supply systems: Fee $
Repair/Z"' --
Fee $
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official