HomeMy WebLinkAbout1965-06-29 Permit, Repair Water Supply #827Village Permit ;XQ 827
Contraetor' _ AddresslCl%'_�'�
Owner �(�titC3e� - C.�L1-?a.�`_-- Address19
State License No Village License No. �— f
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date1;. �
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Section No Parcel No.
—� Lotl—� 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 $
Fee $f _
Fec $--
Total amount paid; to Village.......
I
Signature of applicant
Signature of Village Official