HomeMy WebLinkAbout1967-10-18 Permit, Water Supply Hookup #1659Village Permit No 1659
Contractor ___ ..L Address
Owner- _ %..e Address—
State License No.--.----- ______-__ _ .____ ___ __ _ __ __ Village License No.___
GENERAL PERMIT
Parcel No.
Section No. —
Plat No
Ot lier Description:
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot---- Snbdivisiun
Date Z r
I hereby agree that, in case a permit is granted, X111
%vork which
shall
be clone
and Al matcrials which shall
be used, sl►all
comply with the Village Codc of Orono applicable
thereto, and
shall
include
all additional specifications
as listed below.
Install pl.11mbillg StiSkIns:
Install
sc�sa�;c,dislx�sal ti�stcnts:
Repair
I Iistall
rater St ply systenls :
Repa
Total amount paid to \ illagc .
FCC $ _
Fee
5igilaturc of applicant
Signaturc of
i