HomeMy WebLinkAbout1967-05-16 Permit, Water Supply Hookup #1476Village Permil N° 1476
Contractor—jo 6/me ;5 C 0-- Address -1_!`-_.----
Owner -- j °° -- Address_—Zi_�'�--- C�11 jc
State License No.—
Parcel No.
Section No
Plat No.
Other Dcscriptiou:
—__ Village License No. ---
GENERAL PERMIT
VILLAGE OF OBONO
Crystal Bay, Minnesota
r / T
Date �)
Lot Block— ---- - Subdivision___- _-
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 :;.,tvUl below.
Install plumbing ssstcros:
Install
Repair sewage disposal systcros
Install
water supply s%sten►s:
Reba i
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Total amount paid to \ illagc.
Hee $--- - --
Fee_--
Signature of applicant
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Signature of Village ial