HomeMy WebLinkAbout1971-11-04 Permit, Sewer Hook Up #2911Village Permit
Contractor _�l' i 1 X y d Addrp' i
brmer dt. ,/ ��: t� `r l.� r`<< Address
State License No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Section No
Plat No —
Other Description:
Lot Block__ Subdivision
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 $
Install
sewage Fee $
Repair
Install
water supply systems: Fee $
Itcaair
l
Fee $__...1�?
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official
-N