HomeMy WebLinkAbout1966-10-07 Permit, Water Supply Hookup #1314Contractor (! L imm,
Owner.
State License
Parcel No.
Section No
Plat No
Other Description:
Village Licensc No. —
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Village Permit N2 1314
Dalf, 7 146,
Lot Block—_ Subdivision -_-_
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
water su ply systems: Fee $ _
Repai
Fee
Total amount paid to Village........
S;gnaturc of applicant
Signature of Village Official