HomeMy WebLinkAbout1969-07-24 Permit, Water Well #2196Village Permit N g 2196
ContractoAddress
OwneAddress y G6� y
State License
Parcel No
Section No
Plat No
Other Description:
Village License N
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date
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 tl'rreto, and shall include all additional specifications as listed below.
Install plumbing systems:
Install
sewage disposal systems
R
Instal
water supply systems:
Repair
Fee $
Fee $
Fee $e '
Fee $
Total amount paid to Village....... $,/y
Signature of applicant
Signature of Village Official