HomeMy WebLinkAbout1967-06-06 Permit, Water Supply Hookup #1516Zy' Contractor__. ____122f
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Statc License No.--------. _
Parcel No.
Section No
Plat No
otlic Ocscription :
Viiiage Permit No 1516
Address
J_sZ� Address
Village License No.-----
GENERAL
o. ____
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date—z//
Lot Block__ Stibdivisj011 ______ .__ ._
I hereby agree that, in ease a permit is granted, all
work which
shall
be clo�ie
allcl all i����teriai� wrllicli - all
be used, shall
comply with the Village
Cale of Orono applicable
thereto, and
Tall
include
all a(lditional specifications as
Iisted below.
t
Install plumbing systems:
Iaablt
sC\%*i!;C disposal systems:
Repair
Install
.1`water s.appiv S\ StC111S
oft
r
1� ec
Fee
Fee
TOIL iawunt puld to \ Il laK .. S—_ _. _.
I
I
Signature cit applicant
Signature cit
V11 Edge Official
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