HomeMy WebLinkAbout1970-08-05 Permit, Water Supply #2494Vitlaga Parmif NS 2494
Contractor.tf/i/d . hf/ /f Address
Z’i Owner L'<Cm)pL^j£>.• t A . 'Uv'ti ^uahpt
State License No
Addres!
Village License No
H
GENERAL PERMIT
VILi.A6E OF OBOHO
Crystal Bay, Minnesota
i
DateL
.;ii
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 witii the Villagp Code of Orono applicable thereto, and shall include all additional speciBcaHons as listed below.
I
Install [dumbing systems:
Install
Fee $L Signature of applicant
Repair
sewage disposal systems: Fee $.
Repair
water supply systems: Fee \ O'Q.
Tobil amount paid to Village.
Fee $.
.... $.