HomeMy WebLinkAbout1968-07-10 Permit, Water Supply Hookup #1865H V,
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Village Permit NS 186S
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State license No.Village License No.
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GENERAL PERMIT
VILLAGE OF OROHO
Crystal Bay, Minn(-s’•ir'
^t.'-4 Date.'J-ic-AP
Section No.
Pared No.
Phi No-
Lot Block Subdivisioa
Other Description:
I heidiy agree that in case a permit is granted, all work which sliall be done and all iiuteriah which sliall be used, shall
comply widi the Village Code of Orono apfdicable thereto, and shall include all additional specifications as listed bdow.
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Install plumbing systems:Fee $.biguatuic ol applicant
ImtaU ,sc«^e dispcKal systuns:
Repair
Fee $.
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Install supply .systems: Fee $.
Fee $L t w Sigttaturc of X'illagc Official
Totel amount paid to V illage............$.in • ^
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