HomeMy WebLinkAbout1971-05-05 Permit, Water Supply Hookup #2684Village Permit
9 "";04
Contractor L -g_4L'L, Addr
Owner Address_L. 10 I
State License
Parcel No
Section No
Plat No
Other Description:
Village License N
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date
1 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
wa er supply systems: Fee $
Repair
�- Fee $
Total amount paid to Village....... $_
Signature of applicant
igmture of Village Official