HomeMy WebLinkAbout1965-11-18 Permit, Addition to Septic System #992Village Permit N4 992
Contractor /� _ Address_
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State License No. Village License No.. , 6 s
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t GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Parcel No._Dd_cn
Section No Lot— Block—Z- Subdivision -1 a� r
Plat No. ` 1--)"
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:
EwetI '-4W '�7
Repair sewage disposal systems
Install
Repair water supply systems:
Fee $--
Fcc $ Srf
Fee $ - _
Fee $—_
Total amount paid to Village....... $6 — -
Signature of applicant
Signature of Village Official