HomeMy WebLinkAbout1966-04-27 Permit, Water Supply System #1098Village Permit N2 1098
Contractor Address
Owner - �-� ,3 c. 1�- 1 C ` t Address 1 - r �l't )t
J
State License N3 Village License
GENET kL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
DateZZ'/ -
—
Parcel No.— J 1
Section No — Lot—___ Bloch Subdivision__�___E-'�' '� � lrn=,l t9e,
Plat No
Other Description:
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: Fee $ _ Signature of applicant
Install
seviage disposal systems
Repair
sta
ter supply systems:
rr
Fee $--
Fee $ lr� In
Fee
Total amount paid to Village....... $ If", r-
Signature of Village Official