HomeMy WebLinkAbout07-14-1966 Permit, Septic System Repair #1202Village Permil N2 1202
Contractor __d
Owner,S^'OVU / >1 ijn/hCLCU
State License No_Village License No„
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Section No_
Parcel No.-
Plat No__
Block.Subdivision
Other Description:
I hereby agree that, in ease a jicnnit is granted, all work which shall be done and all materials which shall be used, sliall
comply with the Village Code of Orono applicable thereto, and shall include all additional si>ccifications as listed below.
Install plumbing systems:
Install
Repair
Install
Repair
sewage disjwsal systems: Fee $.
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Total amount paid to Village............ $
Fee 5-
Fee S
Fee $
Fee S
........$-
Signat,irc of applicant
Signature of Village OIBcial
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