HomeMy WebLinkAbout1966-06-03 Permit, Water Supply System #1135Village Permit No 1135
Contractor M'''' �L � � �-�'___ Address—
Owner 2Y' 2n a,,�'n Address
r
State License No Village License No.
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnc_ -i.,
Dat
Lot— Block Subdivision
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
nstall
water supply systems:
Repair
Fee $
Fee $ Ir�57
Fee $--
Total amount paid to \ illagc........ $11 • 00.
Signature of applicant
Siguaturciof \'illagc 2i3l