HomeMy WebLinkAbout1967-11-27 Water Supply Hookup #1732Village Permit N" 1732
Contractor d o e N 5 _ Address
Owner— Address
State License No. ____ __ Village License No.----
GENERAL
o. ___
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date //— 2 -7 `
Parcel No.
Section No Lot_ Block-- Subdivision—___._______
Plat No
Other Description:
I hereby agree that, in case a permit is granted, all work which shall be done a, -.d 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.
/ L 6 — % _.1 - CC .0 ! I r n vn
Install plumbing systems: Fec $ — Signature of applicant
Install
Repair sc-age disposal systems: Fee $
Install
'a ter supply systems: Fee $—_
ReItzFee '
Total amount paid to Village........ $
Signature of Village01cial