HomeMy WebLinkAbout1969-05-09 Permit, Water Supply Hookup #2106Village Permit N o 2106
Contractor Addr� ,>1 44
Owner Address �` r �• 1��-�
State License No
Parrel No
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date_
I hereby agree that, in case a permit i� granted, all work which shall be done and all materials which shall be used, shall
comply with the Village Code of O- ono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems:
Install
sewage disposal systems
Repair
Install
Fce $ _ Signature of applicant
Fee $ I -A A 1
water supply systems: Fee $
Rclxiir —
Y,� Fee
Total amount paid to Village....... $_ z
Signature of Village Official