HomeMy WebLinkAbout1971-04-15 Permit, Water Supply System'A
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.Village (Permit 2659
Contractor CVC F- Address% 1�-
Owner ' ,� � �` Addressed �� d� X-[_.
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:
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1 hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, sha11 = f
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems: Fce $ Signature of applicant
Install
sewage disposal systems: Fee $
Repair --- —
1 stall-
�` water supply systems: Fee �i 1D `••�x�.«
Repair Signature of Village Official
--- Fee
Total amount paid to Village.......
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