HomeMy WebLinkAbout1965-07-28 Permit, Water Supply System #861Village Permit No 861
Contractor - v�=�-� — Address-y���e.
Owner Address / V,� k I —
State License No. -_—_ Village License No. � J
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
bate �' d
Parcel No.____
Section No Lotj-- Block_% Subdivision
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
sewage disposal systems
Repair
Repair ter supply systems:
Fee
Fee $
FCC $-_..
Signature of applicant
Signature of Village Official
'Dotal amount paid to Village.......