HomeMy WebLinkAbout1967-11-22 Permit, Water Supply Hookup #1722:v
Village Permit N2 1722
Contractor./)7 ^ C 2rc S Address.
Owner.Address./? tX
%1
State License No,Village License No,
GENERAL PERMIT
R V
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date_//-" 2>*'2' /n "7
Section No.
Parcel No.
Flat No,-
Lot.Block.Subdivision.
Other Dcscrif^on:
I hereby agree that, in <^se a permit is granted, all work which shall be done and .ill materials which .sh.ill be used, shall
com|Jy with the V'illagc Code of Orono applicable thereto, and shall include all additional s|>ccitications as listed below.
Install pliimbing sj^tems:
Install
sew.jKC disiSosal svsfcins:
Repair
!• «! 4 Signature of a|)}^icant
Install wafer stuH>{v %v^kllt>lI" -Ig- V ^ 3 UJ-Jf ' Jr ^ ^
Fee Q.Sigiutnrc of V ilktjgc Oifical
lol^il amuimt ipiu! tu \ ilUip;..~fhih
rwT imr.-i'- -ti-T •'T-rt*^.n mi ~ ti n f >tn ■ I'iM I i1f?lfarnr iia« i l■Mal Jii*