HomeMy WebLinkAbout1971-12-08 Permit, Sewer Hook Up #2969Village Permit 2 %G j- 9
n
..i
Contractor AddrK�
/
Owner. Address
State License No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date Z.�
Parcel No.
Section No Lot Block Subdivision
Plat No
Other Description:
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 di < - Fee $!La
Repair
Install
water supply systems: Fee $—
Repair
Fee
paid Total amount id to Village ....... $
r
Signature of applicant
Signature of Village Official
Al
1 ' .�� /j/1 A
:W
,. ,