HomeMy WebLinkAbout1965--11-17 Permit, Pump Septic System #980Village Permit N2 980
Contractor -r' L Address &-3� I�I !�;" I
Owner- 6,1141. 4Lm�� ..,/� -- --- Address —y41446 � 101 ��/�.-JF
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State License No. 94xwa-Village Li rise No.
GE ERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
s
Date
11 r0 r�
Section No.�Parcel No. — Lot — Block 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 all additional specifications as listed below.
Install plumbing systems: Fee $ Signature of applicant
LnctaiL—
ge isposal systems:
Repair
Install
water supply systems:
Repair
Fee $
Fee $
Fee
Signature of Village Official
Total amount paid to Village....... $4��