HomeMy WebLinkAbout1969-08-26 Permit, Water Supply Hookup #2234•
1954
r~``1'�%
Contractor---Addres
Wea
A-X'
Owner � Addres
Vi!!age Permit
N2 2234
State License No. Village License No
Parcel No
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot. Block Subdivision
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 $._._--- - -- Signature of applicant
Install
scwagc disposal systems:
Rxuir
Install
w•atet supply Systems:
Repel
- -- 4A --
Fee $ _--
Fee �.----
Total anumnt paid to ♦'illage ....... �. � � ..__. �.._...�
signature of Village Official
A