HomeMy WebLinkAbout1969-06-19 Permit, Water Supply HookupContractor L�'
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Address
State License No _— Village License
Section No
Other Description:
Village Permit N2 2159
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, '%Iinnmta
Parccl No _
Plat No
Lot-- Block____ Subdivision
Date `
I 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 additicnal specifications as listed below.
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $— _
Repair
Install
water su ply systems: Fee
Repo'
Fee
Total amount paid to Village.......
Signature of applicant
Signature of Village O$cial
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