HomeMy WebLinkAbout1965-09-24 Permit, Water Hookup #921CVillage Permit N9 921
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Contractor �`',� ( r ., �� . ,!�. r cess , �/ /(.i -.►__ ,^{� - - -- --
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Owner it--� —"'j—,4 -r4 _ - - Address s.— ---
State License No Village License No.
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GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minncsota
Date _
Parcel No.�;,;:-., r7
Section No.�— Lot— _ Block __-.- Subdivision __—
Plat No.jl!_�k?-}� -
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: Fee $ _ Signature of applicant
Install
sewage disposal systems: Fee $
Repair
Install
water supply systems: Fee $
Repair
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Total amount bard to Villagc.......
Signature of Villagc Official