HomeMy WebLinkAbout1964-09-29 Permit, Water Supply Hookup #638Contra
Owner
Addres
Village Permit No 638
State License No. _ Village License No.5-1_
Section No. .2 D
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Parcel No. � z�
Plat No. �1[2
Crystal Bay, Minnesota
Date--f/-)–
Lot-
)atc--f/%"'
Lot�' 6 _ 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:
Install
sewage disposal systems:
Repair
Install
water supply systems:
Repair
Total amount paid to Village
Fee $ _.
Fee $ --—
Fee
Signature of applicant
SiglidtUrC of Village Uffic gal
- - .how t_ tL.rs.'s mss..