HomeMy WebLinkAbout1969-11-05 Permit, Water Supply Hookup #2324Contractor ' f L Address
Owner - - Address
State License No Village License No
Parcel No.
Section No
Plat No
Other Description:
Village Permit N2 2324
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
/ /— �r �� ?
tom..
Let Bloc Subdivision-
Plat
ubdivision
I hereby agree that, in case a permit is 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.
Install plumbing systems:
Install
sewage disposal systems:
Repair
Install
water supply Systems:
Fee $
Fee $
Fee $.�_-- ---- -
FCC
Total allimint 1),11d t Village ....... $.-_______.___- -
Signature of applicant
Signature of Village Official