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HomeMy WebLinkAbout1972-3533 - general permit � � �� �„� :, ;,. _ 4 l.- S r �} � �.r .....�� �.. n Village Permit ��:;� ;. • - , , , , ContracMr � � ' y Address____ ' ' /�� ;! , �, , �„ � i;; -� i ,: Ow�ncr Address `' _',� /[. - ' < < -,�_ ;. .. '; Slatr Licensc 1`n. Village License No 's" �; , ,,. , ., GEIVERAL PERMIT z VILLAGE OF ORONO `' ;t? Ja "' � d Cnstal Bay, Minnesota t I ""r � � 1/ �..� y... �f�' . . Parccl No. ` , Section No Lor Blocl�_ Subdivision . r, Plat No � Other Dcscription: --� � r y - r , . � . ; 1 hereby agrcc ihat, in case a permit is Rrantecl, all work which shall be donc and all materials which shall tx used, ahall , x� '' comply with thr Village Cocic of Orono applic�hle thcrcto, ancl shall include all additional specifiqtions as listed below, t`�'��R ,xt s'�, —.— '� ,�'�'� ,a, � - y�� ,, _ • � ;�_;,'�::;' .A.�,(/`._� — �'— /�� 7 �. t � � . , , � �� _', - �''t�t C� �c�, �'h') • �C (.�Cl �� .Ce� t. x-� � � M � . { � . , f� 4�� � c�= ,:. r � � x � Install plumbing systems: Fee � Signaturc of applicant ' Install 1 /4� , sr�Be d+y�����+�s: Fee a •L' r' ��e Repair : .` Imtall ` ', w�trr supply systems: Fee � '"s` ,* Repav � "', � .�, Signaturc oE Village pAScia] � '� ' !Q .�/ FCC S •�~(" , .. � Total amount paid to �'illage....... S �� ! /C` � � �! '�� . ` I „�, �. -� , r . , {p qy��qg�� Vi y ` �� �"'Y � �}�' �"el+�^f'.� t . �. - ' f�''A{,... .:�`i�"` f{ . � ` fiY'-� a. � ,.� �� >Y �Si.� r� ^"r1�a"''��ty`.���ffi��..'f . .,. , :.�. -�:�.� ', .::.� '� ;. . ... .. , ... . ,. . � ... . .. . - �M''