HomeMy WebLinkAbout1968-08-27 Permit, New Water Well #1931Contractor
Owner P. on - 2d �1-t-1 S
State Liccnse No
Parcel No.
Section No.__
Plat No.
Other Description:
Village Permit No
Address 1 r7 c f r„ r "`�, fes.
AAArove ,26Sy 8- e.f
Village Licew c No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Iviinnesota
Date "
Lot--- -- Block-.----- - Subdivision--- --
1931
I hereby agree that, in case a permit is granted. all work which shall be clone 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
sewage disposal systems:
Repair
nsta
E.Wwa
Repair ter supply systems:
Fec $— —
lee $
Fee $�"'D
Fee $—
Total amount paid to Village........ $- -- _ --_.
Signature of applicant
Signature of Village O tial