HomeMy WebLinkAbout1971-07-16 Permit, Water Hook Up #2784Irn W
Y.
, qf�.
-4
n q
Vilimp Permit i, 0 i 4
Contractor Address
7"Y el,# I't
Owner t4_ Address
State License No. Village License No '44
Parcel No
AL lim No
plat NO
L--- . Other Description:
GENERALPERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date — 7 1
Lot Block— Subdivision
I hereby agree thatjn,case a permit is granted, all work which shall be done and all materials which shall be used,
comply with t,beVillage Code of Orono applicable thereto, and shall include all additional specifications as listed bd6w.
f
C
N--
6�
J.
71
Install plumbing systems:
Fee $
Install
sewage disposal systems:
Fee $
Repair
Install
— . *water supply systems-
Fee $
Rcpq#j tj
Fee
Total amount paid to V012e ......
$
Signature of 4plicant
Signature of Village Official
r