HomeMy WebLinkAbout1970-04-09 Permit, Water Supply System #2403Village Permit N° 2403
Contractor "— Address_ a—
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Owner Address { CC ra CJ
State License No
Parcel No
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
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 Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems:
Install
sewage disposal systems
Repair
ns 1
water supply systems:
Repair
Fee $—_---
Fee $ _—
Fee $ I r ' O 0
-- Fee $ --- -
Total amount paid to Village....... $
Signature of applicant
Signature of Village C�fficial
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