HomeMy WebLinkAbout1966-08-31 Permit, Water Well #1264Village Permit N" 1264
Contractors �� �✓�y v C /� Address
Owner L-� ir y �/.SO !!J Add
State License No Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Parcel No._ —
Section No Plat No Lnt Block-- Subdivision ,— —_
Other Docription:
I hereby agree that, in case a pcnnit is granted, all work which shall be done and all ua1terials which shall mused, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as below.
Install plumbing systems: Fee $
Install
sewage disposal systcros: Fec S
Repair
Install
�water supply systcros: lice $
Fee $
Total amount paid to Village........0 Q_
Sigratare of applicant
Signature of Village Official