HomeMy WebLinkAbout1966-04-27 Permit, Water Supply Hookup #1100Village Permit N2 11 70
Contractor—Al"
ontractor --
Owner --
State License No.
Section No
Other Description:
Address
\'illage License No.
GENERAL PERMIT
VILLAGE OF ORONO
stal Bay, Minnesota
Date — — _
Parcel No. —
Lot-1--_ Block_ 7' Subdivision6" e y
Plat No
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 is listed below.
Install plumbing systems: FCC $ Signature of applicant
Install
sewage disposal systems: Fce $
Repair — --- —�
Install `
water supply systems: Fee
Re it _ „
L�:: k - Fee $— 0 Signature of Village OPcial
FCC 4
v ' -
Total amount paid to Villagc....... $4-!;7 > -