HomeMy WebLinkAbout1969-02-26 Permit, Install Water Supply System #2059Village Permit Ng 2059
Contractor � : Address
Owner � C l��b
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State License N
Section No
Other Description:
Vol ge License ?
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota `'� /
Date�;Z/—
Parcel No.
Lot Block Subdivision
Plat No ----
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: Fee
Install
sewage disposal systems: Fee $ —
&Z'v"water
//''II supply systems: Fee $L_�__
Repair
--- Fee $— -
Total amount paid to Villagc........
Signature of applicant
Signature of Village Official
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