HomeMy WebLinkAbout1970-02-01 Permit, Water Supply Hookup #2379Village Permit N 2 2379
Contractor / `1�' �✓ Address
Owner ,-Y_Addres
State License No Village License
GENERAL PERMIT
VILLAGE OF ORONO
Parcel No
Section No
Plat No_ _
Other Description:
Crystal Bay, Minnesota
Lot Block Subdivision
Date-f:t----- 70
I hereby agree that, in rase 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.
n
Install plumbing systems:
Fee $
Install
sewage disposal systems:
Fee $
Repair
Install
ter supply systems:
Repair /
Fee $
a
Fee $— —
Total amount paid to Village....... $
r.
Signature of applicant
Signature of Village OEfic'
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