HomeMy WebLinkAbout1972-06-30 Permit, Sewer Hook Up #3186�,��,.. � V • .. m ..r . �cr � .ice •w,.-'.w •_ r,: `"s y�.,.. ._
Village Permit
Contractor - Address
Owner. ? �� r` Addr- , `I-LJ r
State License No. _ Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
i�
Date
Parccl 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: lee—_ _. Signature of applicant
Install
scsvage divpow. 1 Yy%tew: Fee $ O P
Relmir
Install
water supply systems: Fee
Repair
(r P Fee $
Total amount paid to Village....... $ �C `?
Signature of Village Official