HomeMy WebLinkAbout1969-04-21 Permit, Water Hookup #2090Village Permit N° 2090
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Contractor�r�LfLv
owner--- Address--- ._ C" A -
State License No.—___- - -.-- _----- -_---- Village License No._______-- —_-_- _--
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Lot------ _ _-- Block-.- ---- Subdivision--- --_ ___--
I hereby agree that, in rise a penntt is granted, all work which shall be done and Al m ateri.:k which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all ,additional sp ccifications as listed below.
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $_
Repair
Install
iter su ply systems: Fee $
Repa a
Fee $ v
Total amount paid to \ Wage........
Signature of applicant
Signature of Village oflacrpl