HomeMy WebLinkAbout1966-02-18 Permit, Repair Water System #1055Village Permit Nq 1055
Contractor %�,� �! GV� S� Address—
Owner r/F IX e /1?1Q11 -- -- --- Address yi'.
State License No
Section No
Other DescTtion:
Village License No. i�-3 �--
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
1100 Lot�''� Block Subdivisi
Plat No.
Date
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 • hall include all additional specifications as listed below.
Install plumbing systems:
Fee $ _
Install
sewage disposal systems: Fee $
Repair
Install
water supply systems: Fec $ R�'
Fee $—. _--
Total amount paid to Village....... $_—
Signature of applicant
Sign tune of Village Official
Lam'