HomeMy WebLinkAbout1964-09-29 Permit, Water Supply Hookup #639Cont
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State License No.
Village Permit No 639
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Village License No.__-.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Nliniicsota
Parcel No.�ke)
Lot 7__ Block'" -_ Subdivision
Section No � e)—
Plat No.��- _
Other Description:
I hereby agree that, in case a permit is granted, all
work which shall
be done
and all materials which sliall be used, shall
comply with the Village
Code of Orono applicable
thereto, and shall
Include
all additional specifications as listed below.
Install plumbing systcius :
Fee
I »stall
sewage disposal systems: 14ee
Repair
Install
water supply systems: h`c:c�___.__-_
Repair -
Wag
Total amountid to Village....... s_7 __ .__
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Signature of applicant
Signature of Village Official
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