HomeMy WebLinkAbout1968-07-26 Permit, Water Supply Hookup #1881Village ' • mill N° 1881
Contractor � � ��1..L'_ v Address
Owner /,!/� ��L'• ;� �L 7�L-( 131 e►'t/ Address
State License Xo _ _
Parcel No.
Section No
Plat No.
Other Description:
Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
r F __
Lot_ — Bloch___ Subdivision —
I hereby agree that, in case a permit is granted, all work which shall he done and all watcrials 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
Repair savage disposal systems
Install
Rewater supply systems:
pay
— LA
Fee $— --
Fee
Fee
Fee $
Signature of applicant
Signature of Village Official
Total amount paid to Village;........ $___ _