HomeMy WebLinkAbout1967-05-31 Permit, Repair Water Supply System #1504Village Permit N" 1504
ContractorAddress-
own
er Address
State License No _ Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date 3/
h 7
Parcel No.
Section No Lot—_ Blaak__ Sulxtivisicm—_
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.
Install plumbing systems:
Install
Repair sewage disposal systems
Install
ter supply systems:
Fee $ —
Fee $
Fee $ _
Fee
Total amount paid to Village........ $— - ___ -
Signature of applicant
Signature of Village Official
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