HomeMy WebLinkAbout1967-05-03 Permit, Sewer System Hookup #1456Village Permit No 1456
Contractor �` 6 ��� v-� /1�� Address: —
Owner. ����� ���-�-� Address 7`,T_� / ;� Y — A
State License No Village Licensc NoAL .a
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
V?T.LAGE OF ORONO
Crystal Bay, Minnesota
Lot_ Bloch—_ Subdivision
Date
I hereby agree that, in case 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 /�
sr�8 s ems
Repair— k
Install
water supply systems:
Repair
Fee $ Signature of applicant
Fee $ 7,
Fee $ _
Fee
Total amount }raid to Village........ $—_
Signature of Village Official