HomeMy WebLinkAbout1972-12-27 Permit, Water Supply #3492Ifillage Permit ' 3492
Contractor -�3�1 — AddressT c. i
Address.
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State License No
Parcel No.
Section No. —
Plat No.
Other Description:
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivisi
Date /-- - —� 7 - 7 2-
I hereby agree that, in case a permit is granted, all work which shall be done and aJ 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
sewage disposal systems
Repair
eta
water supply systems:
Repair
Fee $ Signature of applicant
Fee $
Fee $_/ G • c f/
Signature of Village Official
�L -- Fee $
Total amount paid to Village....... $