HomeMy WebLinkAbout1965-01-20 Permit, Water Supply System #735pv�. 9-44 12-.7c W�V 977f
Village Permit N2 735
Contractor VAA C4&dAL Address t ' 4nf:_
Owner Address
State License No Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
DateO S I
Parcel No. S-
Section No- Plat No Lot Bloch— Subdivision
Other Descriptiou: .�- �. 7 6
14L aw—
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 deposal systems
Repair
_--_ water supply systems:
Repair
Fee $ _
Fee $
op
Fee $ 3-
Fee $—
Signature of applicant
Signature of Village Official
Total amount paid to Village....... $ 5 — K �'a. � v�et<A---
—1