HomeMy WebLinkAbout1967-04-04 Permit, Water Supply Hookup #1430Village Permit NS 1430
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Address.O^AO-r-i Q-Pv
State Licen.se No.Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.
X
Section No.
Riicel No.
Plat No_
Lot Block.Subdivision
Other Description:
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 sliall include all additional specifications as listed below.
Install plumbing systems:
Install
Repair
Install
Fee $.Signature of applicant
sewage disposal s^tcins: Fee $.
water supply systcin.s:l ee %____
Fcti ^SigTiaturc of \’illage
Total amount paid to Village............$-----------
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