HomeMy WebLinkAbout1969-09-19 Permit, Water Supply Hook UpVillage Permit N 2 2263
Contractor c-�. .Gu�s�e-ter-r
�t ( Address
Owner 4 �—n Z,G /' T Address S
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State License No Village License No
Parcel No
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Bloom Subdivisi
Date 5;7-
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.
�, 17--A
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Repair
Install
water supply systems: Fee
Repair
Fee
Total amount paid to Village....... $ O
Signature of applicant
Signature of Village Official