HomeMy WebLinkAbout1967-04-12 Permit, Water Supply Hookup #1434Village Permit Ng
Contractor Addres '
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Owner-�.—�� rl� ri 5 Address
State Licensc No. __
Parcel No.
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Lot—_ Block Subdivision ____
1434
I hereby agree that, in rase 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
water supply systems:
Repai —
Total amount paid to Village....
1' ec $--
Fee
—
Fee
Fee $ — -
Fee
Signature of applicant
Signature of Village Offic 1