HomeMy WebLinkAbout1969-06-10 Permit, Water Supply Hookup #2150Village Permit N 2 2150
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Contractoddress
Owner �. �t/i �tli� c...1-g .L Address
State License N
Parcel No
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, .dii-nesota
Lot Block—_ Subdivisi
Date
I hereby agree that, in case 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:
Install
sewage disposal systems
Repair
Install
ter supply systems:
Repa
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Fee $
Fee $
Fee $ /
Fee
Total amount paid to Village....... $_
Signature of applicant
Signature of Village vial
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