HomeMy WebLinkAbout1967-07-14 Permit, Water Supply Hookup #1547Village Permit N2 1547
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Contractor, •��� r '✓ �� e �'J a$Ii _ Address
Owner__ •-� 4' c Address �T �� / Y P
State License No. __—_-.-- Village License No.—_ _
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date—� •1'. /,'
Parcel No.
Section No Plat No Lot - Block Subdivision—__
Other Description:
I hereby agree that, in cAsc a permit is granted, all work which shall be done and all materials 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:
lee $ _�
Install
sewage disposal systems:
Fee $
Repair
Install
water supply systems:
lee $ _
Reri
p�i
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Fee C:
Signature of applicant
Signature of Village Official
Total amount paid to Villagc........