HomeMy WebLinkAbout1967-11-22 Permit, Water Supply Hookup #1726Owner
State License N
Parcel No.
Section No
Plat No
Other Description:
10
Village License N
GENERAL PE
VILLAGE OF Oh
Crystal Bay, Minnesota
Lot__—__- 131ock___— _ Subdirisiorn
Village Permil N° 1726
J
Dat
1 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.
lnstall plumbing systems:
Install
Itcpair sciage disposal systems
I nstall
water supply systems:
Repair
J� C-, #'Lx— 10'r �71-� 1.) 0A
IS
Fee S_ __.____ Signature of applicant
Fee f
Fee b _
Fee
Total amount paid to \ illage.... S__l.•-
Signature of Village Offrclal