HomeMy WebLinkAbout1967-11-02 Permit, Water Supply Hookup #1706ViRag* PtrmH N! 1706
mtx.Addi«. A. fy.
State License No
f/d lOvyhf/un'tL^riy AAirp«« /^dLyifii±J'
---------------------------------- Village License No______
GENERAL PERMIT
VILLAGE OF ORONO
Cfystal Bay, Minnesota
Datc-/A 7^ 7
Section No-
Riicel No..
Plat No—
Block-Subdivision.
Other Description:
I hereby agree that, in ease a |xnnit is granted, all work which sliall be done and all materials which shall be used, shall
comply with the \'illagc Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems:Sigiuturc of applicant
Install sewage disposal systems: Fee %-
Install
Repair water supply systems: l•'ce %.
Fee
%-Total amount paid to Village.
Signature of \’illagc