HomeMy WebLinkAbout1967-12-04 Permit, Water Hookup #1731Village Permit Ng 1731
Contractor �c Address
Owner / / d- l Address__ ( /_JJ!I f, D re),
State License
Parcel No.
Section No
Plat No
Other Description:
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date,L f 7 7
Lot— Block-- Subdivision ... ____.
I hereby agree that, in case a permit is granted, all work which shall be clone 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: lee $____
Install
scwvage disposal systems: Fee
Repair
Install
Re water)PplY systemFee ec $—�-
/Y Fee $—f ' J
Total amount paid to Village.... .. 5
Signature of applicant
Signature uF Village Official