HomeMy WebLinkAbout1969-11-28 Permit, Water Supply Hookup #2356Village Permit N2 2356
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Contractor Address
77
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OOwner A ,
State License No Village License No
Parcel No
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
f/! r
Date
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 as
listed below.
Install plumbing systems:
Install
sewage disposal systems:
Repair
Install
er supply sv-stefris:
�
Repairw!'
Total anjount paid to Village. .
Fee $
Fee $
Fee $---;;,0-0pYv
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Signature of <i lapl icant
Signature of V lage Official