HomeMy WebLinkAbout1965-03-31 Permit, Water Supply Hookup #754Village Permit No 754
Contractor_
------
Owner��f c %- 114 on , Address
State License No. _ Village License No.�%�'_ _ _
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date 1j'11A I
Parcel No.________ _
Section No._ Lot— _ Block--./----.- Subdivision
Plat
Other Description:
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 $
Install
sewage disposal systems: Fee
Repair
Install
water supply systems: l er $ _ ----
Repair
__Repair
Fee b_ f -
If -
Total amount pail to Village. .. .. 5---7
Signature of applicant
Signature of \ illage Official