HomeMy WebLinkAbout1969-10-23 Permit, Water Supply Hookup #2306w
Contractor.
Viltage Parmif NS 2306
f Tmicu/
Owner./ /) L (
^ Addrm
Address_C^CO h M ^6 fh^f
State License No.Vilbge License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minni
Paicel No,
Date.//) -yi"S h
Scctkm No.Lot SubdivisioiL
Pbt No.
Other Descrii *,# • I
1 hereby agree that in case a permit is granted, all work which shall be done and all imteriab which shall be used, shall
iply witb the Vilbge Code of Otono applicable diereto^ and shall indude all additional spedfkations as listed bdow.
S rtO.'-K.7c /r'7^
Him
liutall plumbing systems:
Install
Fee $.Sigiuh*rc of apf^icant
Bepair
InstaU
seii^ge disposal tystemv: Fee $.
Repa
ter sup^ systems:
^ J /L M Pr^
Fee 1
Fee %!^. L
Total anunini! paid m ViUagB ..........$.
Sig^tuie kA Vilbge Officid