HomeMy WebLinkAbout1992-04-11 Permit, Water Hookup #3053Village Permit
Contractor h �/� /< 1 4 t tAddress ' Q j''.'q'�Le---
Owner_ 4, x'YL Address
State License No— Village License No
Parcel No.
Section No
Plat No.
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
,rystal Bay, Minnesota
Lot—_ — Block Subdivision
30;53
Date
�_ I f 7ti
I hereby agree that, in case a pe►mit is granted, all work which shall be done and all materials which shall be used, shall
comply with the Village Code of Ojono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems:
Install
sewage disposal systems
Repair
Install /fie r f� , t
water s ae ul,
Fee $—
Fee $
Fee $ /l r 4-
Repair
. Fee ;
Total amount paid to Village....... $
7
Signature of applicant
Signature of Village Official