HomeMy WebLinkAbout1971-05-25 Permit, Water & Sewer Hookup #2719Village Permit
Contractor Address
C
Owner 0 6L�
Address
State License
Parcel No._
Section No
PlatNo.
Other Description:
Village License N
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block- Subdivision
Date
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 additional specifications as listed below.
Install plumbing systems: Fee $
Install
sewage dispusal Fee $
Repair
Install
water sttIMAY Fee $
l(clyair
Fee $
Total amount paid to Village.......
Iva Jim /it4 4-A,
-4
2
Signature of applicant
Signature of Village Official
I
U