HomeMy WebLinkAbout1967-06-08 Permit, New Water Well #1511Village Permit N2 1511
Contractor Address.
Owner_•^Q(D S f
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State License No...N'illagc License No..
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Section No.
Parcel No.
Plat No_
Lot.Block Subdivision.
Other Description:
I hereby apcc that, in case a ix;rinit is granted, all work which shall be clone and all materials which shall be used, slull
comply with the Village Code of Orono applicable thereto, and shall include all additional s|3Ccifications as listed below.
Install plumbing systems:
Install
„ . sewage disijo.sal svstcins:
Repair ‘
I' ce $.
Fee $.
Signature of applicant
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'^=ir._..Avater supply systems:
Repair ^I'cc $ CO
Fee %Sipiaturc of X'illage Official
Total amount paid to V illage ............. b