HomeMy WebLinkAbout1966-07-25 Permit, New Water Supply #1212Village Permit No 1212
ContractorAddress
Owner_—__ 1'IL_ _� /_t� iYi_ Address i —'� v I /1
State License No.—_.-_ _ __ ___—___ _____ _._____ Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date—
Parcel
ate Parcel No.
Section No Lut-- Block—.—._ Subdivision-----.---
Plat
ubdivision— 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:
Install
scwan;e dispxwsal sy,,tcuis
Repair
Ins >
s"Atct suppls �s`tcua:
Repair
Fee $— --
Fee $-----
Fee
----Fee $ 6 Q
Fee $--- ----
Total amount laud to \ it.Agc........ $-- -
Signature of applicant
Sipaturc of Villagc Ofb I
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