HomeMy WebLinkAbout1972-08-18 Permit, Water Meter #3259Village Permit 3 `-! A
Contractor—1 .t .(. 4r
Address
1A
Owner Address , J / IL
State License No. Village License No —
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date —
Parcel No.
Section No Lot Block__ Subdivision
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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Install plumbing systems: Fee $—
Install
sewage disposal systems: Fee $
Repair
Install �
water s ~ /Pee
Repair
d 7
Fe6lA
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official