HomeMy WebLinkAbout1967-07-19 Permit, Water Supply System #1687Village Permit N" 1687
Contractor a 4/1 AddresQ
Owner (L-4 &n/ it�f� Address
State License
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Section No Lot — Block Subdivision
PlatNo
Other Description:
Date44-7
1 hereby agree that, in case a permit is granted, all work which shall be clone 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
In .-
water supply systems:
Repair
Fee $--_ Signature of applicant
Fee $ _
Fee $ /(-''Q0_
Fee $----
Signature of Village Official
Total amount paid to Village $___ _. - .- -