Laserfiche WebLink
..wm <br />n <br />f::» <br />AContractor <br />f <br />i>-i <br />s* <br />Vaiage Parmit ,%!2 2603 I <br />,j <br />i», <br />^ Owner__^ r 'f La^^ <br />e \ <br />Uy\AL <br />r:‘\ <br />Address. <br />i/ - <br />f ; State License No <br />Address. <br />/ <br />3bOO T^<r)^ ^ <br />Village License No. <br />m <br />GENERAL PERMIT >■■;--...... <br />;;..;-vv.... v ... <br />V' <br />V .... <br />.. ■■:■ ;>. <br />Parcel No. <br />Section No_____* <br />Plat No_ <br />p Other Description: <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />. ■ } -% <br />.■'i <br />Date:-VO <br />\ <br />% <br />■i <br />■ <br />Lot Block.Subdivision.i <br />'■.A <br />■■i:i <br />. <br />/■** <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall lx used, shi^ <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed bdow. | <br />■■r <br />!-■ <br />1:’ <br />Jt <br />R .'•• •'■•'■ <br />I '*- <br />'v. ..•> <br />t'r- <br />I Install plumbing 'rsterns:Fee $.■■ <br />^^-^^sewage disposal systems: Fee $ ( ^ ' O O <br />Repair <br />|j i Install <br />Signature of applic^t <br />■ . ■ . <br />A ■; V' <br />i^i. <br />^ter supply systems: Fee $. <br />5, <br />Fee $. <br />■^-,Vr Total amount paid to Village....... $. <br />m:- <br />Signature of Village Official <br />...> <br />1^'.