HomeMy WebLinkAbout1969-12-12 Permit, Water Supply Hookup #2370Con
Owner
State License
Village Permit N2 2370
Address
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No
Section No
Plat No —
Other Description:
Lot Bloch— Subdivisio
Date --__
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: Fee $
Install
sewage disposal systems: Fee $
Repeir
Install
water su ply systems: Fee S`_.__
Repai
yq
f % _ Fec
'T'otal amount paid to \'illagc..... . $
Signature of applicant
Signature of Village Did