HomeMy WebLinkAbout1967-05-08 Permit, Water Supply Hook Up #1454Village Permi! N4 1454
ContractorMffff—kJT 'er-6 0 n Address
Owner- , _ !i Q M Address T%)Q
State License No Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Parcel No.
Section No Lot— Mock Subdivision
Plat No
Other Description:
I hereby agree that, in case a perrnit 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:
Install
sewage disposal systems:
Repair
Install
water supply systems:
Repai
Fee $
Fee $
Fee $-- -
Fee $
Total amount paid to Village........ $— - - ._
-
Signature of applicant
Signature of Village Official