HomeMy WebLinkAbout1969-04-21 Permit, Water Supply Hookup #2093Village Permit N2 2093
Contractor_ Address
Owner P 4&& r Address--__1�L� � '�ki //I P!J
State License No __ ____ Village License No. __ __
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Parcel No. _
Section No Lot______ Bloch Subdivision
Plat No
Other Description:
I hereby agree that, in rase 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.
Install
Repair sewage disposal systems:
Install
eater Itiply systems:Repa���
Fee $__
Fee $
Fee $ _
Fee $_11')o
Signature of applicant
Signature of Village Official
Total amount Iraid to Villagc........ $