HomeMy WebLinkAbout1971-05-21 Permit, Water Supply Hook Up #2707Village Permit ,
r �"Address
Contractor
Owner l' her"-f/ I e L �f P r- Address A7�—I �:5— 4,41
State License
Parcel No
Section No
Plat No.
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Lot Block Subdivision
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall he used, shall
comply with the Village Code of Orono applicabic thereto, and shall include all additional specifications as listed below.
Install plumbing s%lstems: Fee $
Install
sewage disposal systems: Fee $ —_
Repair
Install
water supply systems: Fee
lte}xrir :�.�t
rT 1 Fee $ i L 0Cn
-
Total amount paid to Village... ... $
Signature of applicant
Signature of Village Official