HomeMy WebLinkAbout1969-05-12 Permit, Water Supply Hookup.''i'
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Village Ptrmft N2 2111
Contractor.
Owner.jji
Address.
'\/(A4yyl.Address——*i£l 3S~ ^
Slate license No,Village License No,
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Date.S' /> ^
Parcel No,
Section No,Lot BIocL Subdivisioa
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Plat No.
Other £)escriptioti:
I hereby agree Biat, in case a permit is granted, all work which shall be done and all materials which shall be tued, shall!
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below*.
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5^ CU^(L^ £7
Install (dumbing systems;
Install
Signature ol ap{dicaiit
sewage disposal s)’stenis: Fee $.
Repair
Install
water supply ssstems:
Repuiry /
lUA
Total amount paid to
V
1-ee %
vilLire...........$uL—
Signature of \'i1lage O^ial
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