HomeMy WebLinkAbout1966-07-07 Permit, New Water Well #1192i
Contractor._-
Owner.
State Liccnsc No.—.------
Parcel No.
Section No
Plat No
Other Description:
Village Permit N2 1192
Address---- _ ,p'
_ Village License No.-------
GENERAL
o. -_---
GENERAL PERMIT
VILLAGE OF ^RONO
Crystal Bay, Minnesota
Lot---
I
ot _
Date .1/7/
I hereby agree that, in rase a pcnnit is grantcd, 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 systcnls :
Install
lZepair� sewage disposal systclus:
11S
%t attcr supply systems :
Repa i r
Fcc $ _ --- ---
14"
_--__-
14" cc
Fee $_l.1.G_�n
Fee $
Total amount pall to Village:........ $_ 0-0--
SlgllatUIC Of it j)PIlunt
Signature of Vill.lgc: Official
t � 1