HomeMy WebLinkAbout1967-11-27 Permit, Water Supply Hookup #1730Contractor_
Owner _ --
State License
Section No— —
Other Description:
Village Permit N° 1730
Address __-__-____
address_
Village License No.—_
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date _Z_
_.21?
Parcel No. _
Lot-------- Block-__ - Subdivision---_-
Plat No
I hereby agree that, in case a permit is granted, all work which shall be dove ar ' all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all auditional specifications as listed below.
Install plumbing systems: Fee "+
Install
Repair sc`cagc diq)o%al systems: Fee
Install
seater SU ply systems: Fee
Repxa � J
_ — Fee
Total amount paid t1viliagv....
Siglu+turc of applicant
Signature, of illaac O$cia)