HomeMy WebLinkAbout1967-09-28 Permit, Water Supply Hookup #1643Village Permit No 1643
Contractor Address ---
Owner. he -
Address -e -
State License No— _ _ Village License No
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
11 -�r
Date ,�
- , -1
I hereby agree that,
in case a peri -nit is granted, all
work which
shall
be clone
and all materials which sliall
be used, shall
comply with the Village
Code of Orono applicable
thereto, and
sliall
include
all additional specifications as
listed below.
to
Install plumbing systctns:
Install
sewilge disposal systems:
Repair
I nstgll
water supply sy stems :
Repair f
X)e-r
Total amount paid to Village.
1' cc $_--
Fee
l4 ee $ _
Fee � ,� 0
5igilaturc ut applicant
10,
Sig>>ature of VIIII-W official