HomeMy WebLinkAbout1967-07-14 Permit, Water Supply Hookup #1548*• M- f^- ^ •»frp'< ' ■»r
Village Permit N5 1540 J
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Owner Address.Pafxfn PtAeJ^
State License No..Village License No,
GENERAL PERMIT *•
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VILLAGE OF ORONO
Crystal Bay, Minnesota
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%^4 Date./lJ. /
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Section No.
Parcel No.
Plat No.-
Lot Block.Subdivision.
Otlicr Description:
I hereby agree that, in ease a permit is granted, all work which shall Ik done and all materials wine h shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional s]Kcifications as listed below.
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Install pliunbing systems:
Install , ,sewage disjwsal systems:
Repair
I*'ec $.
Fee $.
Sigiiafuic of appliranl
Install w^ter supply snstems:
Repain f
Fee $
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Fcc $
Total amount paid to Village ............
Signature of Village Offiekl
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