HomeMy WebLinkAbout1967-05-04 Permit, New Water Well #1461Contractor eff n _,5 A (/ —
State License N
Parcel No.
Section No
Plat No
Other Description:
Village Permil No
1461
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Dat e�-
Lot— Block Subdivision
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.
Install plumbing systems:
Install
Repair sewage disposal systems:
Install
water supply systems:
14 ee $ —
Fee $
Fee $
r
Total amount paid to Village........ $ n ? -"
Signature of applicant
Signature of Village Official