HomeMy WebLinkAbout1966-02-16 Permit, Water Supply Repair #1053Village Permit No 1 0 5 3
Contractor 2t1-1
Owner G^/%// / �/� _ � o - — - — Address--, S S�t�� e 1/1/� —
State License No. _.—__ ___ Village License No. ," _
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.—_—__
Section No Plat No.—___—__ Lot __ Block—� Subdivisions c —
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
Install
water supply systems:
e i
Fee $
Fee $
F ee S
Fee $_ _-
I'otal amount paid to Village.......
Signature of applicant
Siguat'Ire of Village O$cial
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