HomeMy WebLinkAbout1969-05-09 Permit, Water Supply Hookup #2108Village Permit N 2 2108
Contractor _= '��'�lL� \�'� Address
Owne Address 3
State License No.
Parcel No
Section No
Plat No
Other Description:
Village License No
GENERAL PERMI`''
VILLAGE OF ORONO
Crystal Bad, .`,l;.,nesota
Lot Block___-- 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: Fee $
Install
sewage disposal systems: Fee $ __
Repair
Install
water supply systems: Fee $
Repair ��—
Total amount paid to Village....... $���
Signature of applicant
Signature of Village Official