HomeMy WebLinkAbout1970-04-08 Permit, Water Supply Hookup #2402Village Permit N 2 2402
n
Contractor ('`"�"' ��� Addres
4) Owner_�11Address T—
Statc License No
Parcel No
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay. ' .. csota
Lot Block— Subdivision
Date___ _
I hereby agree that, in case a I.,!rmit 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 i
Fee $ f� fir' b
Total amount raid to Village.......
$
Signature of applicant
Signature of Village Official