HomeMy WebLinkAbout1969-06-19 Permit, Sewer Hookup #2157Village Permit N2 2157
Contractor_
Add
ress
Owner � C.-! � � �...�'� �. C..l �.
Address-
State
ddress _State License No
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
/ 4•r
Date.____. ._.�
Parcel No.
Section No Lot Block Subdivislorl
Plat No
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 Codc
if Orono applicable
thereto, and
shall
include
all additional specifications as
li!
. below.
Install plumbing systems:
Install
Repair
"t -wage disposal systems :
111stall
water supply Systems:
Repair T,
'Total amount paid t Village
Hee $
Signatures of applicant
Signature of Village O%cial