HomeMy WebLinkAbout1965-12-15 Permit, Water Well #1020Village Permit No 1020
Contractor -� -LT--- Address4_,24 a A
Owner—K,aQ�,u------------- Address _
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State License No. Village License No. _ _
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Parcel No. 7 j
Section No 6 _ Lot --- Block_ Subdivision
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Other Description- T. I I � _ Q 23
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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: Fce $— _
Signaturc of applicant
Install
Repair
sewage disposal systems: Fee
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Install
water supply systems: F $
Repair �,�'.�-
�, Fee r Signature of Village Official
Total amount paid to Village....... $1Q,