HomeMy WebLinkAbout1967-05-16 Permit, Sewer Hookup #1473Village Permil N2 1473
Contractor-
Owner ___/]r Q , O&Aj IIA/AJ^
Address.
State License No-
ArtHres s ^{F
Village LicciiscW^______________________________
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date-
/ /
Section No-
Parcel No,.
Plat No __
Block.Subdivision
Other Description:
I hereby agree that, in ease a pennit is granted, all work which shall be done and all materials which shall be used, sliall
comply with the \'illagc Code of Orono applicable thereto, and shall include all additional s]x:ciiications as listed below.
Fee $-
scsv.igc dis]X)sal systems: Fee 5-
Install plumbing systems:
Install
Repair
Fee S-
Fec $.
Total amount ixiid to Village............$.f
Signature of applicant
Signature of Village Ofpeial