HomeMy WebLinkAbout1967-11-01 Permit, Water Supply System #1672Village Permit N2 1672
Contractor_��7_L�Q -1 Address l/ i��Q �� Qj
Owner
State License
Section No
Other Description:
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No
Date��
Plat NooLot— Block Subdivision
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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 systcyns: Fee
Install
Repair
sewage disposal systems: Fee $—
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nstall
water supply :systems: Fee
Repair
--- — - -- Fee --
Total amount paid to Village...... . S__ / ' C-)
0
Signature of applicant
Signature of Village Official