HomeMy WebLinkAbout1966-08-02 Permit, Water Hookup #1225Village Permit N" 1225
Contractor % f Address
Owner Address �
State License No Village Licensc No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Parcel No.
Section No Lot Block Subdivision
Plat No
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
sewage disposal systems: Fee $
Repair
Install
water supply systems: Fec $ _
Repair
Fee $— Z t; 0
Total amount paid to Village........ $ -71 _5_ V
Signature of applicant.
lb
Signature of Village Official
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