HomeMy WebLinkAbout1967-07-05 Permit, Water Supply Hook Up #1534Village Permit Ng 1534
Contractor _ ', ' �-F eUr9_ Address
Owner
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State License No --_ Village Licensc No —
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Dat 7
Parcel No.
Section No Lot— Block— _ Subdivision
Plat No
Other Description:
I hereby agree that, in case a pennit 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 plumbing systems:
Install
sewage disposal systems
Repair
Install
Fee $—
Signature of applicant
Fee $
ter s pply systems: Fee $ _
Repo
i ,�.
Fee $ O
Total amount paid to \ illage........ $1
Signature of Village Uflic • I