HomeMy WebLinkAbout1968-09-16 Permit, Water Well #1961ViNeye PWMH N! 1961
Contractor �___ ['-�i-- lG'� Address ---
Owner .Address-2�70!
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State license No _ _ Village Ucen.wNo.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Dat
Parcrl No.
Sectirm No Lot _ Block Subdivision—
Pmt No
Other Description:
I bereby agree that, in case a permit is granted, all work which shall Ix done and all uaterials which 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:
1nstall 1r sewage disposal systems
ns
water supply systems:
Repair
Fee $
Fee $
Fee $ 1/ 0'yQ
Fee $
Total amount paid to Villagc........ $— - -
Sipalure of applicant
SFlat'^uic,offVillage
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