HomeMy WebLinkAbout1966-10-25 Permit, Water Supply Hookup #1341Village Permit N° 1341
Contractor �-
— Address_
Owner�tt �t ✓ Address ` �'''J e%
State License No — Village iccnsc No.
GENERAL 1 ?RMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date—
Parcel No.
Section No Plat No Lot— Block Subdivision —
Other Description:
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
Repair sewage disposal systems:
Fee $
Install
water supply systems:
Re
1'ee $74 _
�
Fee $�—
Total amount paid to Village........
�r
$— !.:)
Signatc:rc of applicant
A
Signature of Village oTcial