HomeMy WebLinkAbout1965-10-20 Permit, Water Supply System #943Village Permit N2 _,..9143
Address 3 1'�*
Village License No. ? S
Contractor --
Owner —
State License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No. G'
Section No.—` — Plat No. Lot—_ _ Bloch_ Subdivision
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Other Description:
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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 systems: lee $
Install
sewage disposal systems: Fee $
Repair
Install
water supply systems: Fee $.�---
Fee $--
Total amount paid to Village....... j —
Signature of applicant
Signature of Village Official