HomeMy WebLinkAbout09-28-1966 Permit, Water Well #1293Village Permit No 1293
ContractorAddressjL
Owner Address
State Liccuse No Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Dat
Parcel No.
Section No Lot Block- Subdivision
Plat No
Other Description:
I hereby agree that, in rase 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
scivagc disposal systems:
Repair
11S
to supply systems:
Repair
Fee $
rcc $
I. -CC $ /0, 0 O
Fcc $
Total amount.paid to Village........ $/()'
Signature of applicant
Signature of
Village OOfficcial�