|
� � �� �„� :,
<br /> ;,. _
<br /> 4 l.-
<br /> S r �}
<br /> �
<br /> �.r
<br />.....�� �..
<br /> n
<br /> Village Permit ��:;�
<br /> ;.
<br /> • - , , , ,
<br /> ContracMr � � ' y Address____ ' ' /��
<br /> ;!
<br /> , �,
<br /> , �„ � i;; -� i ,:
<br /> Ow�ncr Address `' _',� /[. - ' < < -,�_
<br /> ;.
<br /> .. ';
<br /> Slatr Licensc 1`n. Village License No 's"
<br /> �; ,
<br /> ,,.
<br /> ,
<br /> .,
<br /> GEIVERAL PERMIT
<br /> z VILLAGE OF ORONO `' ;t?
<br /> Ja
<br /> "' � d Cnstal Bay, Minnesota
<br /> t I ""r � � 1/ �..� y...
<br /> �f�' . .
<br /> Parccl No. `
<br /> ,
<br /> Section No Lor Blocl�_ Subdivision .
<br /> r,
<br /> Plat No �
<br /> Other Dcscription: --�
<br /> �
<br /> r y - r
<br /> , .
<br /> � . ;
<br /> 1 hereby agrcc ihat, in case a permit is Rrantecl, all work which shall be donc and all materials which shall tx used, ahall , x� ''
<br /> comply with thr Village Cocic of Orono applic�hle thcrcto, ancl shall include all additional specifiqtions as listed below, t`�'��R
<br /> ,xt s'�, —.— '� ,�'�'� ,a,
<br /> � - y�� ,,
<br /> _ • � ;�_;,'�::;'
<br /> .A.�,(/`._� — �'— /�� 7 �. t � �
<br /> . , , � �� _',
<br /> - �''t�t C� �c�, �'h') • �C (.�Cl �� .Ce� t.
<br /> x-� � � M � . {
<br />� . ,
<br /> f�
<br /> 4��
<br /> � c�= ,:.
<br /> r �
<br /> � x �
<br /> Install plumbing systems: Fee � Signaturc of applicant '
<br /> Install 1 /4� ,
<br /> sr�Be d+y�����+�s: Fee a •L' r' ��e
<br /> Repair :
<br /> .`
<br /> Imtall ` ',
<br /> w�trr supply systems: Fee � '"s` ,*
<br /> Repav � "',
<br /> � .�, Signaturc oE Village pAScia] � '�
<br /> ' !Q .�/ FCC S •�~(" , .. �
<br /> Total amount paid to �'illage....... S �� ! /C` � � �! '��
<br /> . ` I „�, �.
<br /> -� , r
<br /> . ,
<br /> {p qy��qg�� Vi y `
<br /> �� �"'Y � �}�' �"el+�^f'.� t . �.
<br /> - ' f�''A{,... .:�`i�"`
<br /> f{ . � ` fiY'-� a.
<br /> � ,.� �� >Y �Si.�
<br /> r� ^"r1�a"''��ty`.���ffi��..'f . .,. , :.�. -�:�.� ', .::.� '� ;. . ... .. , ... . ,. . � ... . .. . - �M''
<br />
|