HomeMy WebLinkAbout1968-11-25 Permit, New Water Supply #2016Contractor
Owner _
Village Permit N2 2016
r
Address
.address
State License No _ Village Liccnse No
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block
Subdivision
Date
I hereby agree that, in rase 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:
Install
sewage disposal systems:
Re�ir
' Instar,,
-_. — water supply systems:
Repair
Fee $ .___
Fee $
Fee $
Fee $
'Total amount paid to % illagc•........ $
Signature: of applicant
signature of
\'illagc Official