HomeMy WebLinkAbout1970-12-23 Permit, Water & Sewer Hookup 2631IVA
Village Permit
Contrart` t v t C -if A Address
Owner X A L f^, �.D ��--" Address
State License No.
Parcel No.
Section No _
Plat No
Other Description:
Village License No.—
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date--/! ` 2' 3 J 70-
Parcel
0
I 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 additi., nal specifications as listed below.
Install plumbing systems: Fcc $
Install
sc%vage disposal systems: Fee $
Repair
Install Jit. ia. S
r�
waters s. Fee
Reit /
Fee $f'
Total amount }xiid to Village....... $
Signature of applicant
Signature of Village Official