HomeMy WebLinkAbout1967-10-04 Permit, Water Supply Hookup #1688Village Permit N? 168^
'-il
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.
Section No.
Parcel No.
Plat No»—
Lot Block.Subdivision,
Other Description:
r# r?J
\ .••••»
h
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.
//- ^o.-A7
Install plumbing systems:
Install
„ . scwacc disposal systems:Repair
Install
Rei
Fee $.
Fee $.
iter Supply systems: I’ec
Fee $.
Total amount paid to Village........ $.
Signature of applicant
Signature of X’illagc Official
'f}k£
.Xk