HomeMy WebLinkAbout1969-08-01 Permit, Water Supply Hookup #2204Village Permit N2 2204
Contractor ( ����`�ty Address—
Owner -lily � address M�r C-J�f if C/1 ac
State License No. — -- Village License No. —_
GENERAL PERMIT
VILLAGE OF ORONO
Crestal Bay, Minnesota
Date -
Parcel No
Section No Lot— Block-- Subdivision
Plat No
Other Description:
I hereby agree that, in rase 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: Fee $
Install
sewage disposal systems: Fee $
Repair
Install
water supply systems: Fee $
Rc"'rbI'��
Fee $
Total amount paid t Village....... $
Signature of applicant
Signature of Village Official