HomeMy WebLinkAbout1969-12-02 Permit, Water Hookup #2361Contractor
1�i7X 4,41
_ Address
Owner77
C�
—. Address
State License No. Village License No.
Parcel No.
Section No
Plat No
Other Description:
Village Permit
N2 2361
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot- Bloc Subdivision
Date �� ;- � 6
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
Tall
include
all additional specifications as
listed below-.
Install plumbing systems: Fee $�_.
Install
sewage disposal systems: Fee
Repe i r
Install
waver supply Systems.- Fee
!Zc } rF '
A.
Total amount }xaid to Village ....... - ..... -
Signature of applicant
Signature of Village OffvdW