HomeMy WebLinkAbout1967-08-25 Permit, Repair Water Supply #1602Village Permit Ng 1602
Contractor t/C n S A AddLe
Owner N/ h Addres1—/ s
State License
Section No
Other Description:
Village Ucensc No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
V-Pv-
Dat
Parcel No.
Plat No
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
Install
water supply systems:
Fee $
Fee $
Fee _
Fee $
Signature of applicant
Signature of Village Oftic'
Total amount paid to Village........ $— -- -