HomeMy WebLinkAbout1970-12-01 Permit, Water Well Repair #2596Contractor'
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State License No
YJ690 PW"*
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No
Six -tion No Lot Block Subdivision
Plat No
Other Description:
0
N2 2596
Date I r ' ? 0
I 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 Village Code of Orono applicable thereto, and shall include all additional spe ifications as listed below.
Install piumtmng systems: Fee $
Install
sewage disposal systems: Fee $
�r,�,
water supply systems: Fee $.
Repair
Fee
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official
I /