HomeMy WebLinkAbout1967-08-28 Permit, Water Supply Hookup #1603Village Permit No
Contractor ��L_Sds� Address —_.
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Owner _ Address_ / %
State License No.--_.
Parcel No.
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date-o
Lot_ _ Block_ _ Subdivision—___ -
1603
I hereby agree that, in case a permit is granted, all work which shall be clone 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: Fee: $
Install
Repair sc"vage disposal systems: Fee $
Install
eater supply systems: Fee $ _
ReTj"'h
--y` -- Fee $ j J ��
Total amount paid to \ illage........
Signature of applicant
Signature of illage Off ial
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