HomeMy WebLinkAbout1969-10-29 Permit, Water Supply Hook Up #2314Village Permit N2 2314
Contractor / ! Address 7 _
Owner �� C'� Address 71 o , - /
State License No Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date_ /r - Z l9— l - q
Parcel No
Section No Lot Block Subdivision
Plat No
Other Description:
I hereby agree that, in case a permit is granted, all wcrk 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
vyater su ply systems: Fee $
Re /
r Fee $ 1 , J
Total amount laid/to Village.......
Signature of applicant
S. tun of Village ( cial