HomeMy WebLinkAbout1967-11-03 Permit, Water Supply Hookup #1710C0
Contractor_ K {'h'�C,L�'V
Owner-------�:
Addres
Address_---�
State Liceme No._ _ _-- -- Village License No.. --
GENERAL
-GENERAL PERMIT
Parcel No
Section No_ —
Plat No.
Other Description:
VILLAGE OF ORONO
Crystal Bad, Minnesota
Lot_____ Block__ _ _ Subdivision_._.
Village Permit N2 1710
Date / /— -5 � 0/
-17
1 hereby agree that, in case a permit is granted, all work which shall he done and all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional spcotications as listed below.
Install plumbing systems
Install
sewage disposal systems
KepfAir
In,tall
w:lter susystems:
Repair
c, r
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Total anunuet paid to � illeKc
MR
Hee $—.--__---
Fee $ --
Fee S
Fee_
ti
- - 1 to ��4-4 a CA -
Install
.
Signature of applicant
Signature of Village Official
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