HomeMy WebLinkAbout1967-05-23 Permit, Water Supply Hook UpContractor Addres
/C
Ow,n� Address
State License No. Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Parcel No.
Section No
Plat No _
Other Description:
Crystal Bay, Minnesota
Lo+ Block Subdivision
Village Permit N" 1492
Date;� CJ
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
ter supply systems: Fee $
RenWr
Fee
Total amount paid to Village ........
Signature of applicant
Signature of Village vial