HomeMy WebLinkAbout1964-11-13 Permit, Sewage Disposal System #692Village Permit N2 692
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Contractor-- Address_�r�L�-
Address
Owner.' �-
State License No. ___-- Village License No. �L
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
IT<itc '� '� 17/
Parcel No.' -Y- e '
Section No.�— Lot.L?10 Bloc • - Subdivision s �'"i
Plat No.--_______
Other Descripiion:
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:
Install
leu sewage disposal systems
Install
water supply systems:
Repair
Fee
Fee $ —
Fee $
---- -- -- _ Fee $- -- --
_ �D
Iota: amount paid to Village.......
Signature of applicant
Signature of Village Official