HomeMy WebLinkAbout1966-12-15 Permit, Water Supply Hookup #1395•«
Contractor I(Ji /crM.. P ^
Owner.—
State License No..
.9/ 7 /C4i/_
Village Permit N2 1395
/i
Address.
Address.757 <9
Village License No,
/? /7
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Section No,
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Dat<
Parcel No.
Plat No_-
Lot-Block.Sulidivision.
':T —
ed, sloll
d below.
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
comity with the N'illage Co<lc of Orono applicable thereto, and shall include all additional specifications as listed below.
'.V'
Install plumbing systems:
Install
Repair
Install
I'ec $.
seu-age disposal systems: Fee $.
water suppltt systems: Fee $.
Total amount paid to \ illagc
Fee S.
Signature of applicant
Signature of X'illagc C^rial