HomeMy WebLinkAbout1972-10-27 Permit, Sewer Hookup #3373Contractor
Owner
State License Nc
Village Permit +
3373
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date / — Z:� 7 7 %''`
Parcel No.
Section No Lot— Block — Subdivision
Plat No.
Other Description:
1 hereby agree that, in case a permit is granted, all work which shall be done and all materials which shalt be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems: FEC $
Install ` g
scssagc di � Fee
Rep air
Install
water supph s%-Oems: Fee $—.
Repair
Fee $ ... <7
Total amount paid to Villagc....... $ Z r
Signature of applicant
Signature of Village Official