HomeMy WebLinkAbout1968-08-30 Permit, Water Supply Hookup #1936Village Permit N° 1936
Contractor y ��� �� Address
Ovnier Address (
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State License N
Section No
Other Description:
Village License No._ .
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Lot . Block__ Subdivision
Plat No
Date- — 3 () — c'' le
I hereby agree that, in case a permit is granted, all work which shall be clone and all inaterials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
!nstall plumbing systems:
Install
Repair sewage disposal systems:
Install
R water supply systems:
Fec $ —
Fee $
Fee $
Fee $�
Signa':urc of applicant
Signature of Village Official
Total amount paid to \,'illagc........ $__. - __ _