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HomeMy WebLinkAbout1968-09-04 Permit, Install Water Supply System #1942Village Permil No 1942 Contractor & ��'�_� Ifle- Address n L� fr /Pr% Owner�L. /— / i C / Address, ! u n �° 5 State License `. Parcel No. Section No Plat No Other Description: Village License No GENERAL PERMIT VILLAGE OF ORONO Crystal Bay, Minnesota Lot Block Subdivis Date ?—//- _ 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 Repair sewage disposal systems water supply systems: epair Fee $— Fee $ Fee $10 0 _ Fee $--- Total amount paid to Village........ $_—_ - Signature of applicant Signature of Village fficial —%A-- -