HomeMy WebLinkAbout1971-10-27 Permit, Water Hookup #2899Village Permit
Contractor " "� �' �l� yti� ` i� l Address
Owner / r, r r / t. ti ^'� �`' Address
State License No. Village License No A
Parcel No
Section No
Plat No
Other Description:
GENER".L PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date .. , / -1 I
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.
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Repair
Install - �
water sd r Fee $ n
Repair _
Fee $— C
Total amount paid to Village....... $ Jan
Signature of applicant
Signature of Village Official