HomeMy WebLinkAbout1972-09-28 Permit, Sewage Disposal SystemVillage Permit � ! : = 3 321
Contractor l Address /I.L_ .
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Owner Address_
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State License No
Parcel No.
Section No
Plat No
Other Description:
Village License No
GENERAL PERN'.14T
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Date —
Lot Block Subdivision_._
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: Fee $
Install
sewage disposal systems: Fee $ ' C' J
Repair
Install
water supply systems: Fee $
Repair
Fee $
Total amount paid to Village....... $
Signature of app',icant
Signature of Village Official
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