HomeMy WebLinkAbout1967-06-13 Permit, New Water Well #1514Village pwmh N" 1514
Contractor_ - �/ A j _ /�- // Address �1/r,.�F 4
Owner (7 4- 1,) "J11 r 11 F- Address— � 7� �? �T, T �, -�F !Ldw_
State Liccnse No
Parcel No.
Section No
Plat No
Other Description:
Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot_ Block Subdivision.. ---
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I bereby agree that, in case a pennit is granted, all work which shall be done and all materials which shall be used, shall
comply with the Villagc Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systerm:
Install
sLhvagc disposal systems
R
Nater supply systems:
- Repair
Fee $— --- Siguaturc of applicant
Fee $ �!
Fee
Fee $—
TOW amount paid to Village........ $__— --
Signature of Village Oflr al