HomeMy WebLinkAbout1965-12-07 Permit, Well Repair #1010t f
Village Permit 1010
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State License No.
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Village License No ____________
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GENERAL PERMIT
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■■»VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.C-LcJ^—1 I
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Section Nn.^^Parcel No ._*?V^
Plat Nn.ry f Lot Block.Subdivision
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Other Description:
53
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>I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall 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 $.Signature of applicant
Install
Repa ’r disposal systems: Fee $
Install
^ . water supply systems:Repair ^ ^
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Fee $.
Fee
•' ctXj Signature of Village Official
Total amount paid to Village ........... $_^rz>
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