HomeMy WebLinkAbout1968 Permit #1824, New Water WellVillage Permit N' 1824
Contractor �Addres '—d� GP,�'AD/
Oamer �"» �sl _C��t%�. Address _
State license No Village Licensc No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minncsc�a
Parcel No.
Section No Lot Bloch — Subdivision
Plat No
Other Description:
Date -r' 7' 3 - 2 �
I hereby agree that, in casc a permit is granted, all work which shall be done and all uwterials 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:
0 -sewage disposal systems
Ri*r
sm
water supply systems:
Repair
Fee $ Signature of applicant
Fcc $
Fee $
Total amount paid to Village........ $___ - - _____
Signature of Village fficial