HomeMy WebLinkAbout1965-11-02 Permit, Repair Well #956Village Permit N9 956
Contractor.
Owner _ —Address /�z P,
State Ucensc No.- _ _ ___ %'illagc License No.
1ArX
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date—/ —
/ Parcel No. /
Section No.� Plat No—" -)--7 L4ot-- � - Block—__ Subdivision- —
Other Description:
I hereby agree that, in c2se 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, acid sl►all include all additional specifications as listed below.
Install plumbing systems:
Install
sewoge disposal systems
Repair
u water supply systems:
Repair
Fee 5— — -
Fee 5---------
FCC 5_�
t -
Fee
Signaturc of applicant
Signature of Village Official
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Total amount paid to Village....... 5.-�------- - -----