HomeMy WebLinkAbout1974-02-25 Permit, Water Well #3871Village Permit N° 3871
Contractor ____S (f �` y'� l�/� L� Addrevc
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Owner � � � � Address—
State
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State License No
Parcel No
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot_ Block SubdivisiorL
Date ; l J
I hercb}' agree that, in case a permit is granted, all work which shall be done and all niateriats which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Water Meter: Fee S
Sewer Hookup:
Fee S
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee S
Install Water Hookup:
Fee S
Install Water Supply Systems:
Fee S r/ r U
Install Sewer Hookup:
Fee S
State Surtax:
Fee S
'notal
Amount Paid to Village.......
Fee S
Signature of applicant
Signature of Village Official
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