HomeMy WebLinkAbout1969-06-19 Permit, Water Supply Hookup #2158,
Contractor--
Owner �f�� 01+ �/ �' t �� nom_
State License No
Parcel No
Section No
Village Permit N2 2158
Villag:: License No—
GENERAL PFR MIT
VILLAGE Of
Cn,stal BaN. '
Plat No__ --
Other Description:
Lot Block
,T O
Date
!� 4�. - J
Sutx .. ~ion___
1 hereby agree that, in case a pennit 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 19urnbing Fee V
10+tall
'WWAKr disptrwl .V\tela% FCC $ —�
K"it
111 a.ill
wyte't su) .vstrut. FM
K4 lu r f
OF
Kee s_1.M�—o
TOW mount pond vier . ..... IL _
signatum of apphewd
s4putare 44