HomeMy WebLinkAbout1973-02-07 Permit, Water Meter #3555Village Permit
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Contractor C(c fiN Address—
Owner L-� yY 1 �(� elAe cress ^ ✓ t h.� [ / l ^f .
State License No. _ Village License No. _
GENERAL PERMIT
VILLAGE OF ORO'gO
Crystal Bay, Minnesota
Dates —
Parcel No.
Section No Lot-- Block Subdivisi
Plat No
Other Description:
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.
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histall plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Repair
Install
water supply systems: Fee $
Re�i �
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Total amount paid to Village....... $—_-
Signature of applicant
Signature of Village Official
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