HomeMy WebLinkAbout1969-10-01 Permit, Water Supply Hookup #2276Contractor
Owner as,�
��Ct. cloj
Village Permit
N2 2276
Address
Address
State License No Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Parcel No _
Section No
Plat No
Other Description:
Crystal Bay, Minnesota
Lot Bloch Subdivision
-
Date I �
/6- ?
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: T'cc
Install
sewage disposal systems: Fee
Repair
Install
wa�r supply systems:
Relvir %
I
Total amount paid to Village ....... $---- - - --- - ----
Signature of applicant
Signature of Village Official