HomeMy WebLinkAbout1967-09-11 Permit, Water Supply Hookup #1622Contractor_a Lm er'' ��r we2-_ _ Addres
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State License No.____ .�
Parcel No.
Section No
Plat No
Other Description:
Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Village Permit Nq 1622
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Lot_ Block_______._ Subdivision---
I
ubdivision _ -
I hereby agree that, in ca�c a pennit is granted, all
work which
shall
be done
and all materials wliicli 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
tet s ply systems:
Re
Total aniount pail to \ illagc . .
I� ec $_—
Fee $
Signature of applicant
Signature of Village Offs�ial