HomeMy WebLinkAbout1972 Permit #3463, Sewer HookupIN
YAIMM Permit
� � I
o Contractor `C �? / [ , / i� �,(J Address
Owner �". a . ,.� Address-
4111%.
ddress V111%. '►sp
State License No — Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Flay, Minnesota
,• D3 tC -7
d
Parcel No. ,
Section No Lot_— _ Block Subdivision
Plat No
Other Description:
1 hereby agTLv that, in ca%c a permit i% 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.
v2--- -----
Install plumbing systems: Fee $
Install / r Q O
scyyagc d �4sposai�-a�t�riis: Foe $
Repair
Install
µata supply systerns: Fee $—
Rclxiir _
-- 47 Fee
Total amount paid to Village....... $
II�A
Signature of applicant
Signature of Village Official
r 1. It .'4 �-
4I