HomeMy WebLinkAbout1970-05-22 Permit, Water Supply Hookup #2425Contractor
Owner
Village Permit
----- ---1- j `' Address
State License No.
Parcel No
Section No.
Plat No
Other Description:
--_ address___
Village Licens. No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block
Subdivision
N2 2425
.r
dw-
Date 'J r {"f
I hereby agree that, in case a permit is granted, all
work which
shall
be do:ie
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 dispel systems:
Repair
Install
wed t c•r S 11l)l)ly srtents :
I�t•,.xa i�'
Fee $____
Fee
Fee
Total anu int 1uld to Vi1lags; ....... $v.---.—
S,gilature of applicant
Sig natilre of Villagc Offi(,cal