HomeMy WebLinkAbout1970-07-09 Permit, Septic System Repair #2468Village Permit N 2 2468
Contractor Address
Owner �—/ '' (// � � Address_� � rF 7 G/! LOW
State License No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Date —
Parcel No
Section No Lot Block Subdivision
Plat No
Other Description:
I hereby agree that, in case a permit is granted, a,, 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: Fee $
Install
sewage disposal systems: Fee $�
Install
water supply systems: Fee
RcpZir
_ Fec $--_--_--
Total amount paid to Village....... $_
Signature of applicant
Signature Of Village Official
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