HomeMy WebLinkAbout1965-05-04 Permit, Repair Water Supply #767�'
Contra
r �
Own—1---`f� .-
State License No:_
v� I
Village Permit No 767
--- , kddrelo_-----
A-)lVilla e Liccnsc N2_2--
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Nlir,.,csota
Parcel foot
Section Subdivis� - �-�-
Plat
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 sliall
include
all
additional specifications as listed below.
Install plumbing Systems:
Install
Repair sewage disposal ',ystenls :
water supply s%stcm� :
Repair
Total ainount. Najd to \ illat;c
Fee SignatUrc of applicant
FCC $-- -- -- ---. —
lett cc _
signatiirc of 1 I IlA-1gc ()t