HomeMy WebLinkAbout1972-07-18 Permit, Water Hookup #3207Village Permit ; . 3207
Contractor Z9f 2L �a d.�tJ �` Address
Owner (.L-..� /( ��l�i�'i Address ///
State License No.
Parcel No.
Section No
Plat No.
Other Description:
Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
�_ 7�-
Date
Lot— Block Subdivision -
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 disposal systems: Fee 5
Repair
r�l
Install �. ;
ss-atcr supply sr. tet" &: Fee
Repair
Fee $
Total amount paid to Village....... $�
1
-S 1
Signature of applicant
Signature of Village Official