HomeMy WebLinkAbout1969-10-23 Permit, Water Supply Hookup #2305it
Village Permii 230S
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Contractor.I h i/AAi^yL Address
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Owner L l T l y klLfiP), t i
State License No
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Village License No,
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Parcel No,
Section No,Lot Block.Subdivision
Plat No.
Other Description:
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I hereby agree that, in case a permit is granted, all work which shall be done and all materiab which shall be used, ithalTi
comply with the Village Code of Orono applicable thereto, and shall include all additional sprafications as listed below.
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Install plumbing systems:
Install
Fee i Signature of apfdicant
Repair
Install
sewa|^ dispoal systems: Fee $.
er sufmly s)'5tcms: Fee S
Fee
Total umouuti pud to Villagj}..........$.
Signature ol Vlll^i^ Official
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