HomeMy WebLinkAbout1969-10-21 Permit, Water Supply Hookup #2299Contractor
Owner
State License No Village License
Parcel No
Section No
Plat No
Other Description:
Village Permit
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
N2 2299
Date / (— 3 / J
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 $
Repair
Install
�rat�t supply systems: Fee
Repair � � if
A , FeeO
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official
r.