HomeMy WebLinkAbout1964-09-15 Permit, Water Supply Hookup #670Contractor -
Owner
lf-if�.� Address
Address_ --Y�
Village Permit No
State License No. Village License No.
GENERAL PERMIT
Section No -1: n
Other Description:
VILLAGE OF ORONO
Parcel No. 4t"o 0
Plat No.—.
Crystal Bay, Minnesota
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Lot_____
Block----- Subdivision-
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:
1 nstall
Repair sewage disposal systems:
Install
water supply systems:
Fee $— __ ---
Fee-
Fee $ -
Fee $-._ __.___-
Repair
F 14-1
$-7
.--
Total amount paid to Village....... $--
7�
Signature of applicant
Signature of Village O iLial
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