HomeMy WebLinkAbout1968-08-30 Permit, Water Supply Hookup #1934Village Permit No 1934
Contractor Address
407
Owner. 40 A Address et,446v
A&�
State License No. Village License No.
Parcel No
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date r A0 6
k.
I hereby agree that, in case a permit is granted, all work which sliall 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 systems
Repair
Install
ter supply systems:
RepaA/ C
Fee $— --
Fee $
Fee $ _
Fee $—
Signature of applicant
Signature of Village O cial
Total amount paid to Village........ $--- - -- --_.