HomeMy WebLinkAbout1970-05-28 Permit, Water Supply Hookup #2428Vili'age Permit N 2 2428
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Contractor Address
Owner---�yL l 6LA— 4Q/4 —n'j
Address__
State License No —
Parcel No
Section No
Plat No
Other Description:
Village License N
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date' ' 44— 70
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.
Insta" plumbing systems: Fee $_
Install
sewage disposal systems: Fee $_
Repair
Install
water sup ly systems: Fee $
Repair
Fee $ _� O
Total amount paid to Village....... $
Signature of applicant
Signature of Village O cial