HomeMy WebLinkAbout1969-11-24 Permit, Water Supply Hook Up #2343Village Permit N 2 2 3 4 3
Contractor /1/ L �%i1 e f� !��'�o S
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State License No Village License No
Parcel No
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Blodr Subdivisio*+
Date
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.
Instill plumbing systems:
Fee $
Install
Repairsewage disposal systems:
Fee S
Install
water supply systems:
Repo'
At'" Ll—
Fee
Fee $�
Total amount paid to Village.......
$
Signature of applicant
Signature of Village fficial
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