HomeMy WebLinkAbout1965-10-20 Permit, Water Supply System #942Village Permit N4 942
Contactor l�l,i ce - (�F� AA*, Address �
Owner
• �- Address
i LL�
State tense No. _ Village License No.,,,
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date 6 3-
Parcel No a % r ' I< ,
Section No..._ Plat No I'O— Block__ Subdivisi
Otber Description:
I hereby agree that, in can 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
Repair sewage disposal systems:
Install
�.water supply systems:
Fee $_
Fee $
r d
Fee $
Fee $—
Signature of applicant
Signature of Village Official
Total amount paid to Village....... �" — -� T-
. ,es