HomeMy WebLinkAbout1966-06-23 Permit, Water Supply System #1163Village Permit Ng 1163
Contractor AdOress—* 4�0
Owncr-__ Address__
State License No
Section No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Lot Blcxk _ Subdivision
Plat No
Date
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 systcrns:
Install
sewage disposal systems
Repair
�`atcr supply systcrns:
Repair
Fee $----- --
Fee $—
Fee
Total amount paid to Villagc S/0'
Signature of applicant
Signature of Village O al