HomeMy WebLinkAbout01-18-1973 Permit, Water Well RepairVillage Permit i 3544
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Address.IllA n r r
Addrcss-
State License No..Village License No..
GENERAL PERMIT
VILLAGE OF ORONO
Crj-slal Bay, Minnesota
Date:./- 5
Section No.
Parcel No..
Plat No-
Block. Subdivision.
Other Description:
I hereby agree that, in case a |x:nnit is granted, all work which shall be done and all matcrialsvwhich 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:
Install
Fee $_
Reixiir
Install
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sewage disposal systems: Fee $_
water supply systems: Fee %^LQ_^OjO_
________ _ Pec 5 < 0
Total amount paid to Village ...........%!'0 • ^ C?..
Signature of applicant
Signature of Village Official
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