HomeMy WebLinkAbout1968-05-21 Permit, Water Supply System #1521Village Permit NS 1821
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Contractor �__—���-?1l�L�— Address c��� , ��/%
Owner ��T ��� e� Address
State License No
Parcel No.
Village License N
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Section No Lot _ Block— Subdivision
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 Viiiage Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems: Fee $
Install
Repair sewage disposal systems: Fee $
stall vl%
ter supply systems: Fee
Repair
-- _---- Fee $—
Total amount paid to Village........ $
Signature of applicant
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Signature of Village Official