HomeMy WebLinkAbout1967-09-27 Permit, Water Supply Hookup #1642Village Permit N° 1642
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Contractor Address— i/
Owner 162 A Address____Z'7_
Statc License No
Parcel No.
Section No
Plat No
Other Description:
Village Licensc No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot -- Bloch Subdivisi
Date
I hereby agree that, in case a permit is granted, all work which shall be done and all ivaterials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems: Nee
Install
sewage disposal systems: Fec
Repair
Install
ater sup ly systcn►s: FCC $
Reps, i
Fay C7
-- % 001—
Total
Total amount paid to % illagc........ $ `k V _
Signatuic of applicant
Signature of Vdlage Of ficial