HomeMy WebLinkAbout1969-09-24 Permit, Water Supply System #2267Village Permit N2 2267
Contractor Address
Address -J,
State License No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, 'Iinnesota
Date
Parcel No.
Section No Lot — Block— Subdivision
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
sewage disposal systems: Fee $
ns
Water supply systems: Fee
Repair Signature of Villlagc OfficLd'i
Fee $
Total amount paid to Village....... $