HomeMy WebLinkAbout1968-09-24 New Water Well #1969CVillage Permi! N° 1969
Contractor + ` al Address_
Owner_,...e)G & r.te�__
State License No
_—_ Village License No. _. .
GENERAL PERMIT
VILLAGE r r "RONO
Crystal F
Dat /
Parcel No.
Section No Lot__. _ M mk__ _ lbdivision_
Plat No
Other Description:
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 Ihcreto, and shall include all additional specifications as listed below.
Install plumbing systems: Fec
Install
,term sewage disposal systeuu: Fee
,install � ��
water supph .%stems: Pec `by�_
Repair
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`I'utal amount pond to \ illagc. S.1'f
Signaturc of applicant
`signatntc 0 \ 1I1age Officul
d � t/
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