HomeMy WebLinkAbout1968-11-15 Permit, Water Supply Hook Up #2010Village Permit N2 2010
Contractor _ boeos e.- _ Address— _
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State License No _— Village License N
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Cr;5ta1 Bay, Minnesota
Lo: Block Subdivision
Date _ �� / I
I hereby agree that, in ease 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:
Install
Repair sewage disposal systems:
Install
water supply systems:
Re�r
Fee $ —
Fee $--
F ee $ _
Fee $
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Signature of applicant
Signature of Village 'Official
Total amount paid to ` illage........ $__ - - ---