HomeMy WebLinkAbout1966-06-08 Permit, Municipal Water Hook Up #1139Village Permit Ng 1139
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Owuer Address
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State License No------ _ Village License No. ----
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date 6
Parcel No.
Section No Lot— _ Block
Plat No
Othcr 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.
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Install plumbing systems: Fee $
Install
Repair
Install
Repair water supply systems: Fee $ _
- ---04 t.a� Fee $— —
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Total amount paid to Villagc........ $ -_ _ ._
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Signature of applicant
Signature of Village O 4cia