HomeMy WebLinkAbout1970-11-30 Permit, Water Supply Hookup #2591Village Permit N2 2591
Contractor J �ri �/- t Address��'
OwnerAddress-
State License No
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date -1-4— --I' 7�
Parcel No
Section No Lot Block_-_—_ Subdivision
Plat No._
Other Description:
I hereby agree that, in case a pennit is granted, all work which shall be done and all materials which shall be used, shall
Imply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
6P47 'L
Install plumbing systems: Fee
Install
sewage disposal systems Fee $
Repair
Install -, c�
RepairllMLM--etrpply systems: Fee � �G
Fee
Total amount paid to Village.......
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SignatigF of applicant /
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Signature of Village Official