HomeMy WebLinkAbout1965-08-19 Permit, Water Well #884Village Permit N2 884
Contractor t __ Address-/qe - ci..:.►-1-f /—w�RTb�+�
Owner Address _
1 �
State License No Village License No.
?d GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date _
Section No
Parcel No. ����
Lo Block—/_ Subdivisio
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 thereto, and shall include all additional specifications as listed below.
Install plumbing systems: Fee $ _ Signature of applicant
Install
Repair sewage disposal systems
Install
R� wzter supply systems:
Fee $
Fee $—/ 6 =—
Fee $
Total amount paid to Village....... $1Q___
Signature of Village Official