HomeMy WebLinkAbout1966-01-13 Permit, Water Supply System #1044Village Permit N2 1044
Contractor 4Address
1
Owner-4 _ _Address
State License No. _ Village License No.
GE 'TERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
41"
Section No Parcel No.3
gam— Lot Plat No. Block—_— Subdivision
—_
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
water supply systems:
Repair
Fee $— -
Fee $
Fee $-a—_42=)
Fee $---. —
Total amount paid to Village....... $.Z'L-1�
Signature of applicant
Signature of Village Official