HomeMy WebLinkAbout1967-11-22 Permit, Septic System Repair #1721■'rmM -4*10 I
Village Permil N2 1721
Contractor ____________________f.C^
0\nicr___tX______________
Address
/TO ^f Address f~C' uJ»'»/Q
State License No.._ X'illage License No,.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesot?
Date.
Section No.
Parcel No.
Flat No_
Lot Block.Subdivision
Other Description:
I hereby agree that, in ease a painit is granted, all work which shall be clone and all inaferials which diall be used, slull
comply witli the \'illagc Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems:Fee S.Sigiuturc of applicant
Install — „scuage disposal ss^tems: F«; S.
Repair
Install /^tcr supply sNsternv;
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Total amount paid to \ iUagju.............—
Signature of \ illagc O^ul
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