HomeMy WebLinkAbout1970-12-08 Permit, Water & Sewer Hookup #2616�--v
Village Permit K' 2 2616
Contractor Addres
Owner `'� ' "� C (� 1� c C' Address �`rl
State License No
Parcel No.
Section No
Plat No.
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Bloch- Subdivision
Date / - -70
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 systems:
Itelxiir
Install yy_'�<.
water s1110* s 'n'
Repair
Total amount Ixiid to Village..
F ce $
Fee $
Fee
Fee $ it) d 0
..... $
Signature of applicant
Signature of Village Official