HomeMy WebLinkAbout1969-06-09 Permit, Water Supply Hookup #2148Village Permit N ° 2148
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Contractor �4/ l L. w J �✓ / X� i
Address
Owner�—�—
Address—
State License No. Village License No c/
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date —
Parcel No
Section No Lot Block__ Subdivision
Plat No
Otb:r Description:
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 mcl a all additional specifications as listed below.
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Repe.ir
Install
ter supp systems: Fee $_
Repair `
— / --- - Fee $
Total amount paid to Village....... $
Signature of applicant
ign ture of Village cial