HomeMy WebLinkAbout1969-05-26 Permit, Water Supply Hookup #2134Owner `-"
State License N
Village Permit N2 2134
i 1
-7
Address—9
Address
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date _
Parcel No
Section No Lot Block Subdivision
Plat No—
Other Description:
I hereby agree that, in case a pennit is granted, all work which shall be done and all materials which shall }x; 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 syshnh.s: Fee $ —
Repair
Install
er supply systems: Fee $
Repai // r
1
Fee $ ' S
paid` to Village....... $
Signature of applicant
Signature of \ illage Official