HomeMy WebLinkAbout1972-06-16 Permit, Water Supply Hookup #3162Contractor
Owner
Stag Licensc No.
Parcel No.
Address
I
Village Permit
31ri
Village License No.
GENERAL PERMIT
VILLAGE OF OAONO
Crystal Bay, Minnesota
Section No Lot—. Bloc Subdivision
Plat No.
Other Description:
Date
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:
Install
scwage disposal systcros :
Reprair
Install
WaIe r MO. -
Repair
T
At
Install plumbing systems:
Install
scwage disposal systcros :
Reprair
Install
WaIe r MO. -
Repair
Fee
Fee
Fee
Total antotint lxiid to Villap ....... $
Signature of applicant
Av
Signature of Village (.&W
• �•• r1
U
I
T
Fee
Fee
Fee
Total antotint lxiid to Villap ....... $
Signature of applicant
Av
Signature of Village (.&W
• �•• r1
U
I