HomeMy WebLinkAbout1968-07-09 Permit, Water Supply Hookup #1856Village Permit No 1856
Contractor ' ' Addres
Owner, < <� Address
State License No Village License No. _—
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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:
Install
sewage disposal s)-stems:
Repair
Install
water supply systems:
Re
kt< /6
Fee $
Fee $
Fee $ _
Fee $��S.L
Total amount paid to Village... ... $—__ --
Signaturc of applicant
Signature of \'illagc Official
At -- - Xc l �w