HomeMy WebLinkAbout1968-04-26 Permit, Water Supply Hookup #1799Village Permil No 1799
Contractor- .-t E=-- / P t� r+C' - ----_- Address
Owner -
Address .�� �% C./et �C� o �.. •-C `F
State License No.--__ __ _ __. —_ __. ___ Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Section No Lot _ Block—_._ Subdivision_
Plat No.
Other Description:
I hereby agree that, in arse 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
lusrall
mater supply systems: title $
Repaer
Fee
Total amount paid to % d4v ..
Signature of apphc,..
Signature of Village Officwl