HomeMy WebLinkAbout1967-10-13 Permit, Water Hookup #1653Village Permit N! 1653
Addm.____,M ■ f^.
State License No.
Address__
Village License No
/:T^o /£rs >f?/
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.
Section No.
Pbicd No.
Plat No._
Lot-Block.Subdivisioi
Other Description t
fe»< ■■
I heid>y agree that, in ease a permit is granted, all work which shall be done and all materials which sliall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
- -
%HP%-----------------------------------------------—-------------------------
P
Iiutall plumbing systems: Fee $.
Install. sesvage disposal systems: Fee $.Repair
InstaU
Signature of applicant
•err:'Fee $-
Fee^
Total amount paid to Village ............$
’J'So Signature of Village (^cial
fJyiksL.