HomeMy WebLinkAbout1971-11-15 Permit, Sewer Hookup #2920\» V ^ ^-4 ■’ ' *wwih^.-♦.vr^-»
9
Village Permit f.'5 2920
P
Contractor.h Pv.cJ Ciyyp>
Owner.f J[_L.Aivl^ ''^/hC C ClA^3r\
/■
Address.
Address.:? pO /p /Cj.
State License No..Village License No.
GENERAL PERMIT
VILLAGE OF OBONO
Crj'stal Bay, Minnesota
Date.//. /cf- 7 /
Parcel No..
Section No,Lot Block Subdivisioa
Plat No,
Other Description:
1 hereby agree that, in case a |>ciTnit 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.
^ i/it
/ /■ / <r- 71
■: r
i -.W
i'
Install plumbing ^ystcnis: Fee $.
Install i
Signature of applicant
Keiwir
install
scu’agc Fee 0 d j,
Repair
water supply sj-stems:Fee $.
Fee $
Total amount paid to V illage;....... 1 P PD
Signature of \'ilbge Official
t r fj
\ \