HomeMy WebLinkAbout1972-08-31 Permit, Water Supply Hookup #3282Contractor { t'' � Q Q Addres
Owner Address
State License No. Village License No
Parcel No.
Section No
Plat No
Other Description:
Village Permit ► ti
GE1� TRAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lo+ Blocti Subdivision
3282 ,� .4
Date /,1 4 /- "Y
I hereby agree that, in case a permit is granted, all work which shall be doge 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.
s
Install plumbing systems: FCC $—
Install
sewage dis: Fee $
Repair
Install 5 Z
water sup-systew Fee
Rcpair -
Fee $
Total amount paid to Village....... $ 1'
Signature of applicant
Signature of Village Official