HomeMy WebLinkAbout1964-09-16 Permit, Septic System #623Village Permit No 623
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Contractor a �_�L— Addretis_
Owner v L-�'�cS�� - --- Address N -2=j 3 y f I �r . Ln _
State License No. Village License No 1- Yb
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, 'Miancsota
Date_?r* (Z�_--
Parccl No. V---k-
Section
-Section No. I Lot -_3-.0.- Block -J--_ Subdivision
Plat No..___. --__-
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 :ill additional specifications as listed below.
Install plumbing systems:
sewage disposal systems
Repair
Install
Repair water supply systems:
Fee $-- - --
Fuc $ Cs 0
Fce $- - - -
Signature of applicant
Signature of \ illagc Official
Total amount paid to Village....... $ 4L.--��'=e