Laserfiche WebLink
Village Permit No g�� <br /> , <br /> Contractor %�� � �; .' .11 r�. ._./ � � � <br /> --_-,.`+- r� l�C�(�IC.SS---'� _ � �--_.L��, <br /> Owner <br /> ' / r � <br /> j • `- 't-f•a-►�-ys._—,� ;\ddress_.�'�-a,_���i �1 i 1 <br /> 1'�-��_r <br /> Shate Licensc No ''/ ' � <br /> �'i1)agc Liccnsc \o�� �� <br /> � ' ! <br /> � �-���-- ` C.. � <br /> ,��-r I .� ��- -.r ���7,-�i � L�,..s,.� <br /> L� �,��-�• <br /> 3S3v '�`�" GENERp�L FERMIT ��'�"�� <br /> VILLAGE OF ORONO <br /> Crystal Bay, �finncsota <br /> Datc��% ��_� <br /> Section No.�_ �'arcel No�� � / <br /> Plat No�L I'O� B�OC ��`--�--- Subdivision_ J'S � f�Q� . <br /> Othcr Description: <br /> � s <br /> ' `� j—� r~ �y ,�-,. � �,�,� �'„/2.�c,...� . <br /> I hereby agree that, in case a permit is granted, all n�ork ��hich shali bc done and all matcrials which shall be used, shall <br /> comply with the Village Code of Orono applicable thcreto, and shall includc all additional specifications as listed be1ow. <br /> /�L-��-� „ � ? � �. <br /> '_ �, <br /> Install plumbing systems: Pee S— <br /> Signaturc of applirant <br /> Install <br /> Repair <br /> se�vagc disposal systcros: I�cc $ <br /> Install <br /> Repair water supply systems: I�rc 5 _ <br /> I � �.-1-J.�:ts-� l�ec y Z '� Signature oE Village Official <br /> 5��' <br /> Total amount paid to Village..... .. $ � _— <br /> _ -1 � wr .�i;��-�—___—_ <br />