HomeMy WebLinkAbout1967-05-16 Permit, Water Supply Hookuo #1472Village Permit NS 1472
Contractor.
Owner.
Address.
Addres
State License No
V^illage License ^______________
t GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date s thUn
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 inatchals which shall be used, shall
comply with the Village Code of Oroiio applicable thereto, and shall include all additional specifications as listed below. |
■i
Install plumbing systems:
Install
Repair
Install
Fee $.Signature of applicant
sewage disposal systems: Fee $.
Repair
water supply systems: Fee $.
Fee
Total amount paid to Village............$.
Signature of Village Offif^il
'A.
--