HomeMy WebLinkAbout1968-08-14 Permit, Water Supply Hookup #1900Contractor
Owner
f
State License No
Village Permit No 1900
Address
Address �' .�—_i_ t�"f41
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 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 tlhcreto, and shall include all additional specifications as listed below.
Install plumbing systems:
Install
Repair sc\%•agc disposal systems
Install
eater supply, systems:
Repair
---�c •c n t
Fee $
Fee $
I' ee $ _
Fee J —
Siguoturc of applicant
Signature of Village Official
Total amount paid to Village....... $—