HomeMy WebLinkAbout1972-08-03 Permit, Water & Sewer Hookup #3232Village Permit
Contractor`s Address
Owner Address__
[ •i t
State License No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Parcel No.
Section No
Plat No _
Other Description:
Crystal Bay, Minnesota
Lot Block Subdiv sion
Date—
Parcel
ate
1 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:
Install
sewage disposal systeow.
Repair
Install
water `+�PPfS' cyc e s
Repair
Fee $ Signature of applicant
Fee $ D C�
Fee $'t• hft
— -- -- Fee
Total amount paid to Village....... $ p
i6
Signature of Village Official