HomeMy WebLinkAbout1972-12-27 Permit, Sewer Hookup #3484Village Permit
Contractor ` ' !�~� Address(t
Owner
Address'
State License No. Village License
Section No
Parcel No.
Plat No
GENERAL PERMIT
VILLAGE OF ORONO
Cn'stal Bay, Minneso'.a
Lot— Block Subdivision
Date
Other Description:
1 hereby agree that, in cast 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.
!nstall plumbing systems: Fee $ .. _
Install"
t
sewage disposal- iya Fee $ �' !
Repair
Install
water supply systems: Fee $
Repair
_- Fee $
Total amount paid to Village...... $�
Signature of applicant
Signau!lc of Village Official