HomeMy WebLinkAboutPermit, Water Supply Hook Up #3225Village Permit 1 3225
Contractor Address —
Owner "-,4 i - L1= Address y 4 / Fti i E rz NE- S S PT. Rd
State License No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No
Section No Lot_ Block Subdivision
Plat No
Other Description:
Date
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 $ID 00 / vo k U p Signature of applicant
Install
sewage disposal systems. F 5 1, rc. a �� e- !�" -
Repair
Install -"
wat supply systems: Fee
Repair Signature of Village Official
Fee
Total amount paid to Village....... $ ��'