HomeMy WebLinkAbout1970-11-18 Permit, Water Supply Hookup #2549Village Permit N° 2549
Contrac Address
Owner llM tp�-- LA Address� 6 JIti 4 e—
State License No Village License No
Parcel No
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date
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
Install
ter supply terns: Fee $
Repair
el I.Fee $
Total amount paid' to Village....... $
/9- 70
Signature of applicant
Signature of Village Official
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