HomeMy WebLinkAboutPermit, Water Hook Up #3563Village Permit 3563
Contractor /� ��"Q�� Address �'-/
Owner. 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 Subdivi
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 $
Repair
Fee $— • 45 r—
Total amount paid to Village....... $ /ic . S:z-
Signature of applicant
Signature of Village Official