HomeMy WebLinkAbout1968-08-14 Permit, Water Supply Hook Up #1902Village Permil N9 1902
Contractor Addrest Aa
Owner. _ o _- �V,&M ti✓ Address- C f
State License
Section No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Date — I tj — 6'
Plat No
Lot Blocti Subdivision__
I be eby 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.
S - � 6 - � 9 -(r - le- K"0.-�
Install plumbing systems: Fee $
Install
Repair
sewage disposal systems: Fee $
Install
water s pply systems: Fee $
Repo r � -
Fee
Signature of applicant
Signature of Village Official
Total amount paid to Village........ $