HomeMy WebLinkAbout1965-11-15 Permit, Water Well #993Village Permit NQ 993
Contractor Address_A" atia� /4 I
Owner- -94"k- jW Address I____ A -1
State License No Village License No 7 D
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date / /
No.��
Section No — Plat Parcel l Lot Block Subdivision
Other Description:
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 specifications as listed below.
Install plumbing systems
Install
Repair sewage disposal systems:
Install
B�♦water supply systems:
Fee $
Fee 5_
Fee S �D --
Fee $--
Total amount paid to Village....... Sl C
Signature of applicant
Signature of Village Oficial