HomeMy WebLinkAbout1969-12-04 Permit, Water Supply Hookup #236641 1
Contractor—,& L Address A.
Owner A u .d �e �... �i>~-d tJ1q-4,�. Address
State License No Village License No
Parcel No
Section No
Plat No
Other Description:
Village Permit N 2 2366
GENERAL PERMIT
VILLAGE OF ORONO
C..ystal Bay, Minnesota
Lot_ Block Subdivision
Date
I heieby agree that, in case a permit is granted, all work which shall be done and all materials whi^h shall be used, shall
comply with the Village Code of Orono applicable thereto, and shalt include all additional specifications as listed below.
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Repair
Install
Re ater supp systems: Fee $
pat
r. Fee $�—
Total amount paid to Village....... $
Signature of applicant
S�gnnure of Village ial
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