HomeMy WebLinkAbout1963-06-26 Permit, Repair Septic System #300Ci
Village Permit NO 300
Contractorp,�/ - rr. , -=-o- -kddress— '
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State License No.—__—_ __ —_ / Village License No- /10
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Section No.__1— Parcel Nom,`()() Lot— `' Block ---L— Subdivision
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 Village Code of
Orono
applicable
thereto, and
shall
include
all additional
specifications as
listed
below.
Install plumbing systems:
sewage disposal systems
Install water supply systems
Fee $—
n�n-
Fee$S
Fee $— _
Fee
Total amount paid to Village ......... $
Signature of applicant
Signature of Village Official