HomeMy WebLinkAbout1980-08-06 Permit, Water Well #6062City Permit N. 6062
Contractor
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Owner-
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Address 830 r sT
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State License No.
Parcel No
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
4-13-7357 ' 67 �Q
Date
Section No. Lot Block Subdivision
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 City Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
Water Meter:
Fee S
Sewer Hookup: (City)
Fee $
Install Plumbing Systems:
Fee $
Install Sewage Disposal Systems:
Fee $
Install Water Hookup: (City)
Fee $
Install Water Supply Systems: (Well)
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Fee S__
SAC
Fee $ _
State Surtax:
Fee $ S�
Signat r of applicant
ity Official
rota) Amount Paid to City . .. . . ... . Fee S 20, 5o
Code: White -File Copy. Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt