HomeMy WebLinkAbout1967-07-14 Permit, Water Supply Hookup #1549Village Permit No 1549
r� y�.
Contracto
7' ►*- -" Address—
Owner_ — ; r -"7%'' Address . d �: C �,' _e-�
State License No
Parcel No.
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORnNO
Crysc •1 Bay, Minnesota
Lot Biock--__ Subdivisioi
Date 2,
1 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 addi!ional specifications as listed below.
l/ ., , -7
Nstall plumbing systems:
Install
Repair sewage dispx)sal systems
Install
water supply systems:
Repair
Fec 5_«—
Fee $
F ce 5—
Fee G:
Signature of applicant
Signature o s illage Official
Total amount paid to Village........ $—_-- —