HomeMy WebLinkAbout1969-10-01 Permit, Sewer Hookup #2275r -i ' mm'
Contractor.
Owner.*d ^Ja cco
Address.
Village Permit NS 2275
S fi ■
Addrcss-
State License No.Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.
I Section No.
Parcel No.
Plat No—
Bl(Subdivision.mm
Other Description:
I hereby agree that, in case a permit is granted, all work which shall be done and al< materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional spccihcations as listed bdow.
^ . V *1#
C'cn-r>^'U' Oi
^ i rj-iC^'YW ^ C Ca T&
Install plumbing systems:
Install
Fee S
Repair
Install
sewage disposal systenu: Fee $.
water supply
14,
systems: Fee $.
Total amount paid to Village..........$.
Signature of applicant
Signature of Village Official