HomeMy WebLinkAbout1967-04-12 Permit, Water Supply Hookup #1435Village Permit No 1435
Contractor ler �� � • Address—��
Owner lza L4/t . C f �j,� I'' AddressW4 j`�
State License No._ Village License No.
GEI�TERAL PERMIT
VIA, - AGE OF ORONO
Crystal Bay, Minnesota
Date—'g/z-.>—)'/'
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 thereto, and shall include all additional specifications as listed below.
Install plumbing systems: Fec $
Install
sewage disposal systems: Fec $
Repair
Install
water su ply systems: Fee $ _
Repai
_-- _ Fee
Signature of applicant
Signature of Village O •ial
Total amount paid to Villagc........ $