HomeMy WebLinkAbout1965-06-07 Permit, Water Supply System #804Village Permit No 8 -0 4
Contractor - Lit"L �L Address.
Owner � — ---- Address e
i
State License No. _._. --_ Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, )Minnesota
Date�JL 1 y
Parcel No.-LY � P 1 ' � t V
Section No Lot— '_� Block /3 Subdivisio
Plat No-J-1-
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
install
sewage disposal systems
Repair
Install
it*-peir water supply systems:
Fce a---_
Fee
Fee `;----
Signature of applicant
Signature of Village Official
Total amount paid to Village....... 5-E-�___ _���_�_+