HomeMy WebLinkAbout1972-09-07 Permit, Sewer & Water Hook Up #3293Village Permit ti
Contractor �t A.
Address __7
Owner t Address 5 J - eA 71 O c�.
4//33C. sao
State License No. — Village Lice-ise No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No. -
Section No
Plat No.
Other Description:
Lot_-- Block _ ____-_ Subdivisici. -
Date / - 7 — '7 Y
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which sr- , sed, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specification s :,sttd below.
30-) Yl3
Install plumbing systcros: Fee $ Signature of applicant
I` Install
sewage s: hex $ ! p' . C 0
Repair -- ----
Install �� l�,_�
water suppy. r Fee $Ir�--Ce
Repair Signature of Village Official
nt Fee $ l' 0 1 11
Total amount paid to Village....... $ 0 _7 ! 1 t- k•'r.• t,"�' �1(�& V