HomeMy WebLinkAbout1964-10-19 Permit, New Water Supply System #663Village Permit N?
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Contractor""��—
Owner-���__�" ___. Addresser
State License No. _ _—_ Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
663
Parcel No. ---1-n7
-',-0--',-0-'F
Plat No.—_ !�
Section No. ' Loth '�� Block --!V--- � Subdivision�
—_
Other Description:
I hereby agree that, in case a permit is granted, all
work which shall
be done
acid 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: Fee $— _
Install
sewage disposal systems: Fcc
Repair
Install 00
water supply systems: Fee $ _
------ FCC $- --
np
Total amount paid to Village....... $��._
of applicant
Signature of Village Official