HomeMy WebLinkAbout1966-12-20 Permit, Water Supply Hook Up #1399Contractor UA
Owner -
State License No _
Parcel No.
Section No
Plat No
Other Description:
7� I
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Village License N
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivisi
Village Permit No
Date__1v
1399
I hereby agree that, in case a permit is granted, all work which shall be done and a;' materials which shall br J, 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
waters pply systems: Fee $ _
Repofr r�
_ Fee $_��r l� o
Signature .of applicant
Signature of Village Offi 'al
Total amount paid to Village........ $