HomeMy WebLinkAbout1969-09-19 Water Well #2125WI&Sp Permit N2 2126
/ V
Contractor ` t -C : Address . ^ If 4—
Owner- Address
State Licensc No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Cnstal Bay, Minnesota
Date_
Parcel No
Section No Lot Blodr Subdivision
Plat No
Other Description:
hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be nscd, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems:
Install
sewage disposal systems
it
In
ter supply systems:
Repair
Fee $
Fee $
Fee $ /) - W -'o
Fee $
Total amount paid to Village....... $
Signature of applicant
Signature of Village Oficial