HomeMy WebLinkAbout1964-10-19 Permit, Septic System #664Village Permit N9
Contractor �i - _ � -�* Ulddress- —_--_
Owners W� 1--- - — Address �-— - - - - -
State License No. — -___ Village License No. 7-
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GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Section NoParcel No.
� Lot_.. _.__ Block
Plat No.tLL3.3—q
Other Description:
111tC1i_2,LI
Subdivision -^..
664
I hereby agree that, in arse 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 s)stcros: Fee $- . -
Install
scssage disposal systems: Hee: $ It —
R�+S
Install
water supply s}stcros: Fee
Repair
Fee: 5----- -
Tel
'Total aniount Ixud to Village....... $� - -
Signature of applicant
Signature of Village Official
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