HomeMy WebLinkAbout1966-08-23 Permit, Repair Pump #1253/ r
Contractor_
Owncr -
State License N
Parcel No.
Section No
Plat No
Other Description:
Address ' A
�— :Address -�
Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Village Permit No
Crystal Bay, Minnesota
Drat ��
Lot Block_ ____ Subdivision _ _
1253
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.
i
Install plumbing systems: Fcc $—
Install
Repair sewage disposal systems: Fec �—
Install
water supply s}stems: Fee— _
Repair -M 2� �
Fee
Total arnoant paid to Village........ S---- -- ---
Signature of applicant
Sigualurc of Village Official