HomeMy WebLinkAbout1966-07-25 Permit, Water Supply System #1213Village Permii No 1213
Contractor r� CA �n '� Address '
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Owner�� � - �' v Address
State Lc. -:se No._
Parcel No
Section No
Plat No
Other Description:
\ illage Liccnsc No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, :,iw.,esota
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Datc_--74
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Lot Block Subdivision—___ _
I hereby agree that. in case a permit is granted, all work which shall be done and all waterials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as ?isted below.
Install plumbing systems:
Install
sewage disposal systems
Rcpair
nsta
water supply systems:
Repair
Fee --
Fee $
Fee $ /0' d�_
Fee $— —
Total amount paid to \ illagc........! • ��
Signature of applicant
Signature of Village vial
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