HomeMy WebLinkAbout1970-12-23 Permit, Water & Sewer Hookup #2632Village Permit
Contractor P'
liAddress / �AA L
Owner L f/Z -Y2F Address / L'1V N J i
State License
Parcel No.
Section No
Piat No.
Other Description:
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot- Block_ Subdivision
Date
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.
0
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Repair
water shpW> s: Fee
Relxiir
c1Ll U rvh✓ � eeT3 Fee $ /(1. O b
Total amount paid to Village....... $-4.
Signature of applicant
Sig,iature of Village Official