HomeMy WebLinkAboutPermit # 1437 1967 A4
„a
y
Village Permit N2 1437
Contractor-- Address
Owner _ ___ Address
State License No — Village License No.
X$
GENERAL PERMIT
VILLAGE OF ORONO --�
Crystal Bay, Minnesota
t Date
Parcel No.
Section No Lot--- Bloch Subdivision -
Plat No
Other Des•__.;�tion:
'mz
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
nd shall include all additional specifications as listed below.
comply with the Village Code of Orono applicable thereto, a
V.fi
Install plumbing systems: Fee $ Signature of applicant
Install
sewage disposal systems: Fee �a /
Repair
' Insfiall
water supply systems: Fee $
Re r Signature of Village ffiicial
A &/97--- Fee $
” Total amount paid to Village... .. .. . -- __ — — -- — -- - --- —