HomeMy WebLinkAbout1981-04-01 Permit, New Water Well #6288City Permit N? 6288
Contractor ���/�S I�VL/� /�/; Address I I I L:2
Owner L'se— Addre-, 35o ���5�✓i i
State License No.
Parcel No.
Section No. Lot
Plat No.
Other Description:
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357 �� j� / /9fj
Date �, /(
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 City Code of Orono applicable thereto, anO shall include all additional specifications as listed
below.
Water Meter:
Fee S
Sewer Hookup: (City)
Fee $
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee $ applicant
Install Water Hookup: (City)
Si:g�nneuof
Fee S 'lei1 0-�q,
Install Water Supply Systems: (Well)
Aitz-
Fee $ •�?L). OD
SAC
Fee $ Signature of City Official
State Surtax:
Fee f r(% o �!
Total Amount Paid to City .... .....
Fee f
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt