HomeMy WebLinkAbout1965-09-13 Permit, Water Supply System #910Village Permit N2 910
Contracto Y
Owner \ddress
Stat 7ic'ense No._ _ Village License NoIL
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Parcel No. �r ��
Section No 41 � Lot__ Blocic_�_ Subdivision'-may/�
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
Repair sewage disposal systems
—water supply systems:
Repair
Fee $— _
Fee
Fee $--_
Signature of applicant
Signature of Village Official
Total amount paid to Village....... '---