HomeMy WebLinkAbout1967-07-28 Permit, Water Supply Hookup #1568-��tc - d ;f.s.aAddress—
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Owner +'>---Y— Address
State License N
Parcel No.
Section No
Plat No
Other Description:
Village Liccnsc
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot—- Block—_ Subdivi
Village Permit N" 1568
Date Q A,
I hereby agree that, in case a permit is granted, all work which shall 'oc 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:
Install
Repair sewage disposal systems:
Install
Re' water supply systems:
pa,
Total amount paid to Village. .
Fee $
Fee s 4-
..... S--- - -- --
Signature of applicant
Signature of Village O cial