HomeMy WebLinkAbout1979-03-08 Permit, Water Well #5505£
Contractor S tVsL.L.
Ouinw J^. ^^VZA a J
City Pentiit 5505 1
. Address m.
State Licenie No..
. Address Rj^ysn>€^
.City License No.
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GENERAL PERMIT
OTY OF ORONO
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Crystal Bay, Minnesota
473-73S7
D.te
Parcel No______
Section No------------------Lot.. Block.. Subdivision
Plat No..
Other Description:
1 hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used,
shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
ay S*,
Water Meter Fees
Sewer Hookep: (City)Pees
InftaOPIumbiiifSyitefni:Fees
buUl Sewife Diipoiel Systemi:Fees
liuteU Weter Hookitp: (City)Fees
Initall Weter Supply Syitems: (Well)Fees
SAC Fees
Stele Surtex:Fees
Toul Amount PekI to aty................ . l ee S
Signal^ of aiy Omdalu J J
Code: WMte-Fae Copy; Caurylnipector't Copy; PlnkFliieiicc Copy; GoldApplfeeiit*i Receipt