HomeMy WebLinkAbout1970-09-21 Permit, Water Supply System #2543Village Permit N 2 2543
Contractor �'� ^�� �W Address'�
Owner '` J�ta'*4—, _ Address Q �✓`' ej 4-al,
State License No
Parcel No
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date__
Z / - '1 Q
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: Fee $
Install
sewage disposal systems: Fee $
Repair
ns
water supply systems
Repair
Fee $ / n " n
Fee $
Total amount paid to Village....... $
Signature of applicant
Signatu
re
of Village Official