HomeMy WebLinkAbout1969-07-23 Permit, Install Water Supply #2195Village Permit N o 2195
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Contractor �m ar Address _------- _.—__- —
Owner �ti�gr" V� �1 E f Address 75 5 ,��hP 1✓e
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 �/ ' '?s ` rC .' /
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be ased, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as lis,`ed below.
Install plumbing systems:
Install
s
aLewage disposal systems
water supply systems:
Repair
Fee $
Fee $
Fee $ /0 r o
Fee $—
Total amount paid to Village....... $
Signature of applicant
Signature Qf Village Official
/U