HomeMy WebLinkAbout1967-12-05 Permit, Water Supply Hookup #1739Village Permit No 1739
Contractor s�LOC C __ Address—
Owner_-- _ r 1' ' Address_ --
State License No. __ _ . ___ ___ 4 __ - -___ Village License No.-------
GENERAL
o. -__
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
r
Date
10
Lot— _ Black—_-_ Subdivision _-- - --- -- ---_- --- _ __ ---
I hereby agree that, in case a pcnnit is granted, all
work which
shall
be clone
and Al materials wliicll %ball
be used, shall
comply with the Village
Code of Orono applicable
thereto, and
shall
include
alb additional specifications as
listed below.
,� 1 ,X
Install plumbing systvills:
Install
sewage disposal systems:
Repair
I »stall
water slipply ssstcins:
Repair
14 ee
Fee $ _
ee $
ce $
Total ainotint paid to \ illAgt .. . S -
t`
Sigilaturc of applicant°
I '
-14plature of ' 111ilac "ncW1
L �. .