HomeMy WebLinkAbout1972-07-18 Permit, Water Hookup #Village Permit
n
ContractorQ-o-i(J �L"^'< _ Addres J
Owner i t epi 1%-,� � B- Address � � `J i y C G c- d I"o 171
State License No.
Parcel No.
Section No
Plat No
Other Description:
Village Lic:•nse No
GENERAL PERMIT
VILLAGE OF ORONO
instal Bay, Minnesota
L(,. — Block__-____ Subdivision
Da Pc_
i - -1 J' --
I hereby agree that, in ca ,e 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:
Install
sewage disposal systems
Repair
Install
water sr
Rcpuir
444P
Fee $
Ff-v $
Fee O J
Fee
Total amount paid to Village....... $ /0- -S-0
G Y
0
Signature of applicant
Signature of Village Official