HomeMy WebLinkAbout1972-10-13 Permit, Water Hookup #3352V*J1a" PKmit 1.:' 3 352
Contractor L)%%'y ✓ ! �- Addressr'
Owner r_; J Address i, _ H , t/ F- < L-tL
State Licensc No. Village License No
Parcel No.
Section No
Plat No
Other Description:
GEN71 RAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision_
Date /r — I�1 —_7ti
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 Fee $ ��y
Repair
j Fee $
Total amouni ouid to Village.......
Signature of applicant
Signature of Village Official