HomeMy WebLinkAbout09-1-1970 Permit, Water Well Repair #2534Village Permit N2 2534
Contractor Address—
Owner
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CILag - L t(i1sf�� Address
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Owner
State License No
Parcel No
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Section No Lot Bloch— Subdivision
Plat No
Other Description:
Date / / 7
I hereby agree tbat, in case a permit is granted, all work wbich shall be done and all materials which sball be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
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Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Repair
Install
water supply systems: Fee $
Rcpa�/
Fee $ 10,06
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official