HomeMy WebLinkAbout1968-04-18 Permit, Water Supply System #1792Village Permit Na 1792
Contractor .11' / —Lye Address '0 fir" �t
Owned . l �� E r/� S Address rC /l A ✓J �° ��i�
State Lit_- No
Parcel No.
Section No
Plat No
Other Description:
Village Liccnse No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot— Block-- Subdivision
Date A-1— /14� —
I hereby agree that, in case a permit is granted, all work which shall be done and all matcrials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shill include all additional specifications as listed below.
Install plumbing systems:
lnttall
sewage disposal systems
Repair
water supply systems:
Repair
Fee $ —
Fee $
Fee$ /O-dO-
Fee $ —
Total amount paid to Villagc........ $_1 n -_oz
Signature of applicant
Signature of Village coal