HomeMy WebLinkAbout1971-05-10 Permit, Water Supply #2696Village Permit y j
Contra6or
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Owner. ,'; 1l % �� Address_. -It
State License No. _ Village License No.
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Blorlc Subdivision
Date `--'
/C;
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: Yee $
Install
sewage disposal systems: Fee $
Repair
W*CT supply systems: Fee $--1�
Repair/
111 Fee $ —
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official