HomeMy WebLinkAbout1972-05-31 Permit, Water Supply HookupVillage Permit , - h30
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Contractor s Address -4P2-
Owner �'� L� Address
State License 1'0._ ——_—_—_-- Village License No._ t Y
GENERAL PERMIT
VILLAGE OF ORONO
Cn•stal Bay, 'Minnesota
Date
Parcel No.—_
Section No. Lot— Block-- Subdivision
Plat No --
Other Description:
I hcreb•; 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 $
Relx►ir
Install
water su:. Fee
Repair
Fee $— _
Total anumnt }xnd to Village ...... $_._�_:5._
Signature of appl,c,int
Signature of Village OfficW