HomeMy WebLinkAbout1972-07-18 Permit, Water Hookup #3210Village Permit
Contractor �il !'_�' �t % ! .,rY) cQ. r_ �4 %r
Addresst
Owner Ir It y'Nl �� fC� ��l Address
State License No.
Parcel No.
Section No.
Plat No.
Other Description:
Village License No._.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot— Block_— Subdivisi
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.
TV.2S
Install plumbing systems: l,cc $_
Install
sewage disposal systems: Fee
Relx1ir
lu�tall ,
.i
s%atcr ,upply systgraw: Fee $—
Itcpalf
Fee
l
'lot,]] .1111onnt 1xild to Village....... $
9 '7
Signature of applicant
Signature of Village Official