HomeMy WebLinkAbout1967-02-13 Permit, Water Well Repair #1413CVillage Permit N° 1413
Contractor_ ��'�'__. _ - Address_.._.
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Owncr—.•e 4 _ Address ��f�✓` 4w __!L �_ ____
State License No --
Parcel No.
Section No
Plat No
Other Description:
Village License No. --
GENERAL PERMIT
VILLAGE OF ORONO
CrN-stal Bas, Minnesota
Lot Bloch Subclni,inu
I)atc�
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 s%stcuis
Install
%2tcr supply syatents:
e irs
Total rnnnu1t Iz+ul to \ lllAgVc
FCC $
I'ee $_. _
FCC
sigr►aturc of applicant
Signature of \ illagc Officwl
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