HomeMy WebLinkAbout1970-11-27 Permit, Water Supply Hook Up #2590Village Permit N 2 2590
Contractor �V {-�/ �'cC/�/ ��d es
Addr s
Owner A uo� c,1J Address-.-. /ate-, hj
State License N
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Date
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 systen, : Fee $
Install
sewage disposal systems: Fee $
Repair
Install
water supply systems: Fee $
Repair 4j
- d. //%` Fee $
Total amount paid to%Village ....... $
Signature of applicant
Signature of Village Official