HomeMy WebLinkAbout1967-07-25 Permit, Water Supply Hook Up #1565Village Permit No 1565
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Owner Address—_-:1-�_%
State License No Village Licensc No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Dat
Parcel No.
Section No Lot Block Subdivision
Plat No
Other 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 include all additional specifications as listed below.
Install piumbing systems:
InstmInstall
sewage disposal systt :ns
Repai
r
Install
water supply systems:
Repair
Fee $ Signature of applicant
Fee $ — ,
Fee $ _
Fee $ 7,
Total amount paid to Village........ $ % _. _ J
Signature Of Village Official