HomeMy WebLinkAbout1966-11-16 Permit, Water Supply Hookup #1369Village Permit No 1369
Contractor�/)h1_e_' ..._. __1` c.v _ Address—
Owner A
ddress—OwnerAc _ __— •Ct�IACQ Address_—�._G'vt
State License No--__ __ _
Section No
Other Description:
Village Lic•cnsc No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Dat
Parcel No.
Bloch---- Subdivision---
Plat No.
I hereby agree that, in case a permit is granted, all %vork ;•vhich shall be done and all materials which shall be used, sliall
comply with the Village Code of Orono applicable thereto and shall include all additional spec•itications as listed below.
Install plumbing systems: Fee $---- Siguaturc�ooff applicant
Install r/�✓�""�/"vl
ltepa.ir
sewage dislx)sal systems: Fee $
_
1 u.,tell
water supply systems: Fee $ _
Re}ra r�I � ��"
ieg&� _ Fee Sigivaturc of \ illaac Official
Total. amount paid to Village........